Admin's Registration
The red star(*) indicates that the field below is required.
Userid
Name of the Officer
*
Contact Number
*
Blood Group
*
Mail ID
Designation Name
*
Super Admin
Admin
Address
*
Branch Name
*
Select
Contai III
Anandpur
Ghatagaon
Satyabadi
Gop
Erasama
Naugaon
Jagatsinghpur
Oupada
Jaleswar
Balasore
Danagadi
Jajpur
Odagaon
Khandapada
Jatani
Chilika
Begunia
Telkoi
Balianta
Chandipur
Nandigram I
Panskura
Block
*
Aadhar Card No.
*
PAN Card No.
*
Password
*
Photo
*
I-Card Photo
*
Bank Name
*
Account Holder Name
*
Account Number
*
IFSC Code
*