Register for Milaan ERP
Note:
All the fields are Mandatory.
First Name
Last Name
Age
Gender
Male
Female
Other
Email Id
Password
Confirm Password
Contact Number
Type
Select..
eSeva Kendra / Jan-Seva-Kendra
NGO
School/College
Agency Name
State
Select..
Assam
Karnataka
Madhya Pradesh
Uttar Pradesh
District
Select..
Block
Select..
Locality
Address
Agency Document (Proof of registration)
Choose file
Personal Document (Aadhar Card / Pan card)
Choose file
I agree to the
Terms and Conditions
Terms & Conditions
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