Important Contacts
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Citizen Servey
Please fill out the form below with accurate information.
Personal Details
Enter name
*
Enter Middle Name
Enter Last Name
*
Select gender
*
Male
Female
Other
Select your date of birth
Religion
Select Religion
Hindu
Muslim
Christian
Buddhism
Other
Caste
Marital Status
*
Select Marital Status
Single
Married
Other
Phone Number
+91
Whatsapp Number
+91
Alternate Number
+91
Enter email address
Enter Alternate Email Address
Education
Select Education
10th
12th
Graduate
Post Graduate
Other
Address Details
Own House
Yes
No
Address Line 1
Address Line 2
City/Village
*
Government ID Details
Enter Aadhar Number
Enter Pan Number
Enter voterId Number
Enter drivingLicence Number
Occupation Details
Occupation Type
Select Occupation Type
Public
Private
Government
Business
Salary Range
Experience (Years)
Annual Turnover
Business Type
Select Business Type
Trading (Sale Purchase)
Service
Manufacturing
Family Details
Family Type
*
Select Family Type
Nuclear families
Single-parent families
Extended families
Childless families
Stepfamilies
Grandparent families
Number of Members
Add Member
Voter Details
EPIC Number
*
EPIC Verified
Check if the EPIC has been verified
Assembly Constituency Number
*
Part Number
*
Serial Number
*
House Number (English)
*
Section Number
*
Relation Type
*
Select Relation Type
Father
Mother
Spouse
Guardian
Age
Relation's First Name
*
Relation's Last Name
*
Name (Marathi)
*
Last Name (Marathi)
*
Relation's First Name (Marathi)
*
Relation's Last Name (Marathi)
*
Hobbies & Interest
Add Hobby or Interest
Social Links
Add Social Link
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