Applicant Registration
(all fields are required **)
EPIC/Voter Id Number
* (CAPITAL LETTER Only) This is your Login ID
Phone Number
*
Email
Name of the Farmer / Signatory
*
Password
*
Password Confirmation
*
Aadhar Number
*
Category
*
Choose a Category
SC
ST
OBC
GEN
Gender
*
Choose Gender
Male
Female
Others
Father/Husband Name
*
District
*
Choose a District
KOLKATA
ALIPURDUAR
BANKURA
BIRBHUM
COOCHBEHAR
DAKSHIN DINAJPUR
DARJEELING
HOOGHLY
HOWRAH
JALPAIGURI
JHARGRAM
KALIMPONG
MALDAH
MURSHIDABAD
NADIA
NORTH 24 PARAGANAS
PASCHIM BARDHAMAN
PASCHIM MEDINIPUR
PURBA BARDHAMAN
PURBA MEDINIPUR
PURULIA
SOUTH 24 PARAGANAS
UTTAR DINAJPUR
Subdivision
*
Choose a Subdivision
Block
*
Choose a Block
Gram Panchayat
*
Choose Gram Panchayat
Mouza
*
Choose a Mouza
Village
*
Choose a Village
Post Office
*
Pin No.
*
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