Reporter Rajistration Form

• Full Name*
• Phone Number*
  -Area CodePhone Number
• E-mail*
• Date of Birth*
• Male/Feamle*
• State*
• District*
• Teshil*
• Block*
• Ward ya panchyat*
• Pincode*
• Candidate Photo*
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• Adhar card frant*
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• Adhar Card back*
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• Pain card*
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• Message*