M N S S B Y

Applicant First Name (as per SSC) *

Middle Name

Last Name

E-Mail Id of the Applicant*

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(Kindly enter a valid Email Id and Mobile Number. OTP will be sent for verification)

Aadhar Number*

Mobile Number of the Applicant*

Select Yes if the application is filled at Vasudha Kendra*

YES NO

Please enter the OTP sent on your Mobile *

Please enter the OTP sent on your Email Id *

Enter CSC code *