Meter Reader Personal Details
First Name *
Last Name *
Name (Fill as per Aadhaar)
Your Gender *
Select
Male
Female
Other
Blood Group *
Select
A+
A-
B+
B-
O+
O-
AB+
AB-
Date of Birth *
Contact Number
Alternate Contact Number
Marital Status *
Select
Single
Married
Divorced
Widowed
Country *
Nationality *
Mother Tongue *
Languages Known *
Extra-Curricular Activities *
Religion *
Address (House No./Street) *
State / Region *
District *
Pincode *
Mother Name
Mother DOB
Father Name
Father DOB
Wife Name
Wife DOB
Dependent Name
Dependent DOB
Dependent Relationship with you
Dependent Occupation *
Dependent Is Alive *
Select
Yes
No
Account Number *
Account Holder Name *
IFSC
ESIC NO.
PF (UAN) NO.
EMAIL.ID
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