Individual Registration |
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User ID *
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User ID is case sensitive, minimum one alphabetic character and minimum one numeric character |
Password * |
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min 8 chars,use at least one special character (/ . [~ ! @ ' # $ % ^ & * ? _ ~ - , () ] + / )! "),number,lowercase, uppercase letter
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Confirm Password * |
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If you forget your password we will identify you with this information
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Security Question * |
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In case you forget password, we will identify you by this
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Your Answer *
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Name *
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Gender *
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Date of Birth *
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Designation *
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Email ID *
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For Correspondence, New Password |
Mobile *
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Minimum One contact number is Mandatory |
Phone Number *
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Nationality * |
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Hospital/ Ayush/ Yoga/ Wellness Centre Details |
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Name *
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Capacity *
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Address * |
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State *
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City/District *
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FRRO Description*
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Accomodation Type *
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Accomodation Grade *
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Email ID :
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Mobile :
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Minimum One contact number is Mandatory |
Phone Number :
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Details of the Nodal Officer of Hospital/ Ayush/ Yoga/ Wellness Centre |
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Type the code shown above:
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Fields marked * are Mandatory
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