Application for Enrollment of Citizens
1. Select Your State
2. (a) Name
  (b) PAN (if available)
3. Address
  Building No./Flat No. Floor No.
  Name of the Premises/Building Road/Street
  City/Town/Locality/Village Taluka/Block
  District PIN Code  
4.  Contact Information (the email address and mobile number will be used for authentication)
  Email Address    
  Mobile No
Verify OTP
5. Verification
I heareby solemnly affirm and declare that the information given herein above is true and correct to the best of my knowledge and belief and nothing has been concealed therefrom.