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Reg Id

Photo

Full Name

Phone No

Father's Name

Father's Phone No

User Id

Password

Email

Confirm Password

Occupation

Occupied Date

DOB:

Block Type

Room No

12

11

10

9

8

7

6

5

4

3

2

1

Room No

24

23

22

21

20

15

14

19

18

17

16

13

Room No

32

31

30

29

28

27

26

25

Package

Due Date

Gender

Vehicle Model

Vehicle No

Aadhar No

Address

Additional Notes (if any)