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Ministry of Rural Development
Government of India

NEW INSTITUTE SIGNUP

Institute Type*
Institute Name*
Phone*
(Optional 3-5 digit STD
code followed by 6-8
digit Phone no.)

Fax
(Optional 3-5 digit STD
code followed by 6-8
digit Phone no.)

E-Mail*
(example: a@b.com)

Address Line1*
Address Line2
State*
District*
Pincode*
(6 digit code)

Website
(eg:http://www.abc.com)

Details of Organisation Head
Title
First Name*
Middle Name Last Name*
Office Phone*
(Optional 3-5 digit STD
code followed by 6-8
digit Phone no.)

Fax
Optional 3-5 digit STD
code followed by 6-8
digit Phone no.

E-Mail
(example: a@b.com)

Details of Contact Person
Title
First Name*
Middle Name Last Name*
Office Phone*
(Optional 3-5 digit STD
code followed by 6-8
digit Phone no.)

Fax
(Optional 3-5 digit STD
code followed by 6-8
digit Phone no.)

Mobile
(10 digit valid Indian
mobile no. starting
with '8' or '9')

E-Mail
(example:a@b.com)



Please Provide Login Details
Enter New Username*
(6-20 characters. Acceptable chars
include lowercase alphabets,digits,
underscore(_),dot)
New User's Password*
(8-10 characters.Acceptable chars
include alphabets,digits,_,.,@)

Confirm New User's Password*


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