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VLE UIDAI REGISTRATION FORM
Those VLE who are interested in UID work and have UID certificate and Machine, Kindly fill this form.
प्रिय VLE , अगर आप UID का काम करने की रुचि रखते हैं और आपके पास UID प्रमाणपत्र और मशीन है कृपया इस फार्म को भरे.
1. OMT ID*  
2. SCA NAME*
3. NAME*
4. FATHER'S NAME*
5. DATE OF BIRTH(DOB)* Date Format(dd/mm/yyyy) 
6. GENDER*
7. PAN Card No.*
8. Aadhaar No*
9. MOBILE NO.*  
10. e-MAIL ID*
11. STATE*
12. DISTRICT*
13. BLOCK *
14. ADDRESS*
15. PIN CODE*  
16 Supervisior UID Certification No*
17. LapTop*
18. TFT Monitor*
19. Fingerprint Scanner*
20. Iris Scanner*
21. Web Camera*
22. Printer*
23. Internet Connectivity*
VLE Bank Details:
24. Name of Beneficiary Beneficiary A/C No
25. Bank Name Bank Branch Name
26. IFSC Code
Enclosed VLE Document Details
27. Upload Photo:*
Please upload jpeg,jpg file upto 100KB only
28. Upload UID Card:*
Please upload jpeg,jpg file upto 100KB only
29. Upload Supervisior Certificate:*
Please upload jpeg,jpg file upto 100KB only
Verifier Availability
30. Verifier Name Verifier Address
33. Verifier Department Verifier Post at the time of Reteirement
34. Verifier Mobile No  
35. Upload Proof of Identity:*
Please upload jpeg,jpg file upto 100KB only
36. Upload Proof of Address:*
Please upload jpeg,jpg file upto 100KB only
37. Upload Photo:*
Please upload jpeg,jpg file upto 100KB only
38. Upload UID No:*
Please upload jpeg,jpg file upto 100KB only