Parichay Card Application Form
    Note:
  • (Allowed file types:jpeg,png,pdf & File upload max size 2 MB)

  

Personal Details

(Aadhar card/Voter Id / Driving lisence)

Contact Details

Permanent Address

Bank Details Section

Upload bank details (Front page of passbook / ATM slip / Screenshot of net banking)

Work Profile

Note: Self and Spouse below 80 year and Children below 25 years only

Particular Full Name Relation Gender DOB Age
01 Spouse
02 Child 1
03 Child 2
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