Center Full Name*
*
Contact No* *
Email*
Address*

District ---Select District--- AGRA FIROZABAD MAINPURI MATHURA ALIGARH ETAH HATHRAS KASGANJ ALLAHABAD FATEHPUR KAUSHAMBI PRATAPGARH AZAMGARH BALLIA MAU BUDAUN BAREILLY PILIBHIT SHAHJAHANPUR BASTI SANT KABIR SANT KABIR NAGAR SIDDHARTHNAGAR SIDDHARTHNAGAR BANDA CHITRAKOOT HAMIRPUR MAHOBA BAHRAICH BALRAMPUR GONDA SHRAVASTI AMBEDKAR NAGAR AMETHI BARABANKI FAIZABAD SULTANPUR DEORIYA GORAKHPUR KUSHINAGAR MAHARAJGANJ JALAUN JHANSI LALITPUR AURAIYA ETAWAH FARRUKHABAD KANNAUJ KANPUR DEHAT KANPUR NAGAR HARDOI LAKHIMPUR KHERI LUCKNOW RAEBARELI SITAPUR UNNAO BAGPAT BULANDSHAHR GAUTAM BUDDHA NAGAR GHAZIABAD HAPUR MEERUT MIRZAPUR SANT RAVIDAS NAGAR SONBHADRA AMROHA BIJNOR MORADABAD RAMPUR SAMBHAL MUZAFFARNAGAR SAHARANPUR SHAMLI CHANDAULI GHAZIPUR JAUNPUR VARANASI
Center Head Name* *
Father's Name* *
Mother's Name* *
Adhaar Number* *
Adhaar File * *
Center Registration Copy* *