Name of the Applicant
Sex
MaleFemale
Marital Status
SingleMarried
Father's Name
Nationality
Date of Birth
Educational Qualification
Profession
Mobile Number
E-mail id
Aadhaar / Pan Details
Spouse Name
Wedding Date
Nominee Name
Relationship
Permanent Address
Communication Address
Upload Photograph
Amount
Rs 1.00 Lakh + GST (20 years validity)
