Registration Form
Name of Applicant /Authorized Representative
Company Name /Institutions/Office Name
Designation
Permanent Address
PassWord
Password must contain: Minimum 6 characters atleast 1 Alphabet and 1 Number
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District
-- Select District --
Almora
Bageshwar
Chamoli
Champawat
Dehradun
Haridwar
Nainital
Pauri Garhwal
Pithoragarh
Rudraprayag
Tehri Garhwal
Udham Singh Nagar
Uttarkashi
E-mail
Email
Please Enter Valid Email ID
Mobile No.
Mobile Number
Enter a valid Mobile Number
Correspondence Address
Same As Peramanent
Re-Type PassWord