Contact:
+91 9314098008
Email:
janmanasshekhawatiofficial@gmail.com
User Application Form
Personal Details
Name
*
:
Father Name
*
:
Date of Birth
*
:
Gender
*
:
Male
Female
Blood Group
*
:
A+
A-
B+
B-
O+
O-
AB+
AB-
Mobile No.
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WhatsApp No.
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Email
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State
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Select State
District
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Pin Code
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Address
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Education & Experience Details
10th Percentage / Passing Year
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12th Percentage / Passing Year
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:
Graduation Percentage / Year:
Post Graduation Percentage / Year:
Diploma Percentage / Year:
Experience 1 Details:
Experience 2 Details:
Bank Account Details
Bank Name
*
:
Account Type
*
:
Bank Account Number
*
:
Bank IFSC Code
*
:
Government ID Numbers & Document Uploads
Aadhar Card Number
*
:
PAN Card Number
*
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Driving License Number
*
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Upload Required Clear Documents (Click image to zoom)
User Profile Picture
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User Signature
*
Aadhar Front
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Aadhar Back
*
PAN Card Front
*
Driving Licence Front
*
Driving Licence Back
*
10th Marksheet
*
12th Marksheet
*
Graduation Marksheet
Post Graduation Marksheet
Diploma Certificate
Experience 1 Certificate
Experience 2 Certificate
Select Registration Plan
Non-Package Plan (₹500)
Items Included In This Package.
Press ID Card
Full Media Package Plan (₹6500)
Items Included In This Package.
Press ID Card
Professional Mic & Mic ID
Official Card Holder
Branded Pen
Keychain
Official Diary
2 Premium T-Shirts (1 Black, 1 White)
Tick to accept
terms & conditions.
Pay & Submit Form
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