Bootstrap Example
Create Applicant
Create User Login
Surname *
Name *
Gender *
S/o, W/o, D/o *
Father/Spouse Name *
Present Address:
State *
District
Mandal
Gram Panchayat
Street Name *
Locality: *
PinCode
Aadhar No
Date Of Birth:
Mobile No *
Email
Password *
Confirm Password*
Note:  Mobile No. and Password will be used for all future logins
           Mobile No. and Email will be used for all correspondence from Gram Panchayat Secretary.