User's Registration
The red star(*) indicates that the field below is required.
User id
Select Co-ordinator
Select Co-ordinator
PRADYUMNA KUMAR SAHU
Tanusri Santra Samanta
Choudhury Mihir Charan Mohanty
Durga prasad mahapatra
Kuheli Bera
Madhumita Panda Kundu
Manas kr Das
SWADHIN KUMAR MAHANTA
Roupyajayanti Nayak
Sapan kumar sahoo
SUDDEPTA SINGH
Subhasmita Patra
SMRUTI RANJAN SETHI
Santosh Panda
Pratikshya Swain
Prasanta Kumar Mohanty
Nisakar Das
Ajit Kumar ojha
Basanta Kumar Samal
SWADHIN KUMAR MAHANTA
Anshuman Acharya
Monalisha Parida
Surajit Pattanayak
Smruti Ranjan Dash
Keshaba chandra maharana
Abinash pattanaik
Name of the Officer
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Contact Number
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Alternative Contact Number
*
Blood Group
*
Mail ID
Designation Name
*
Address
*
Branch Name
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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
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Photo
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Bank Name
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Account Holder Name
*
Account Number
*
IFSC Code
*