Grahak Seva Kendra Online Registration Form
Full Name
Gender
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Male
Female
Other
Date of Birth
Mobile Number
Email Address
Aadhaar Number
PAN Number
Service Interested In
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AEPS
Micro ATM
DMT
Recharge/Bill Pay
Insurance
Address Details
Full Address
State
Pincode
Upload Documents
Aadhaar Card (PDF/Image)
PAN Card (PDF/Image)
Photograph
Submit Form