Online Application for New Serve Seva Kendra (SSK)
Note: All fields are mandatory.
Applicant Details
Application For
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Business Associate (BA)
Distributor (DTB)
Applicant Type
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Applicant Title
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Mr
Mrs
Miss
Shrimati
Applicant Full Name
Write Full Name as per Aadhaar Card
Applicant Date of Birth
Mobile No
Verification Code will be sent on this Mobile no.
Alternate Mobile No
Email ID
Verification Code will be sent on this Email ID.
Highest Educational Qualification
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Matriculation (SSC)
Higher Secondary (HSC)
Graduate
Post Graduate
Current Occupation
Any Existing Business?
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Yes
No
Reference Details
How do you know about us ?
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SSK Distributor
SSK BA
NPST Employee
Internet Search / Website
Friends / Relative
Email
Facebook
Twitter
Instagram
YouTube
Whatsapp
Newspaper AD
Banner / Hording
Shop / Office Address
Address should be as per Proof of Address (POA) Document(s)
Shop/Office Name
Property Type
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Owned
Rented
State / UT
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District
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Taluka / Tehsil
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Village / Area
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Other - Not in above list
If your Village / Area is not in above list, select 'Other - Not in above list' and enter your Village / Area name.
Address Line 1
Address Line 2
Landmark
PIN Code
Village / Area Governance Body
Declarations
I hereby declare that
1. The above information furnished by me is true & correct to the best of my knowledge and belief.
2. NPST or it's Representative can CALL me during their working Days/Hours and/or send SMS / Email for further communication.