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GENERAL & LOGIN INFOMATION
Full Name
Last Name
Father Name
DOB (dd-mm-yyyy)
WhatsApp No
Email
Password
Use 8 or more characters with a mix of letters, numbers & symbols.
Confirm Password
LOCATION INFOMATION
State
Select State
छत्तीसगढ़
District
Select District
Tehsil
Select Tehsil
Pincode
BANK ACCOUNT INFOMATION
Bank Name
A/C Holder Name
IFSC Code
Account Number
Confirm Account Number
I Agree &
Terms and conditions
.
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