Web User Registeration Form
Urban/Rural :
User Type :
User Permission Rights :
  (Permission rights will be granted on user requests by administrstor only.)
State Name :  
District Name :  
Charge Name :  
Town Name :  
Email ID :
Password Rule :

    1. Must be at least 6 characters.

    2. Must contain at least one one lower case letter, one upper case letter, one digit and one special character Valid.

    3. special characters (which are configurable) are - @#$%^&+=

Password :  
Confirm Password :
Incharge First Name :  
Incharge Last Name :  
Designation :
Department :
Contact Address :
Phone(O) :  
Phone(R) :  
Mobile :