MSCW Kiosk Application Form

MSCW Kiosk Application

Please fill out all required fields marked with *

First Name *

Middle Name

Last Name *

Father’s Name *

Mother’s Name *

DOB *

Gender *

Aadhaar (12 Digits) *

Qualification *

Photo (Max 2MB) *

Village *

Tehsil *

State *

District *

Pincode *

Phone Number *

Email Address *

Kiosk Application Fee ₹500/-

Please verify your information before payment.

Name:

Father:

Mobile:

Email:

Address:

Aadhaar:

Amount To Pay: ₹500

I declare that all information is correct.