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Hostel Scheme Management System

Registration Form

1).Institute's Name*

Should NOT be left blank.
2).Head of institution name*

Should NOT be left blank.
3). Institute Head Mobile No ( To be used as login id)*[Please entery 10 digits mobile number only]

Should NOT be left blank.
4).Address*
Should NOT be left blank.
5). Contact Mobile No.*
Should NOT be left blank.
6).Select District*
7). Sub-division *:
8).Whether Under Municipality/ Block*
9)Select Block / Municipality:*
10.Select Panchayat/Ward*
Please Select Panchayat /Ward
11. Police Station*
Should NOT be left blank.
12.Pin*:
13.Institute certificate No*:
14). Upload Recognizing Authority(Board / Council) Certificate File [ File Type*: .JPG/.PNG File Size: <=2Mb]:
15).Type the characters you see in the picture*   Secutity Image Refresh Image