District * please select AHAMEDNAGAR AKOLA AMRAVATI AURANGABAD BEED BHANDARA BULDHANA CHANDRAPUR DHULE GADCHIROLI GONDIA HINGOLI JALGAON JALNA KOLHAPUR LATUR MUMBAI NORTH MUMBAI SOUTH MUMBAI WEST NAGPUR NANDED NANDURBAR NASHIK OSMANABAD PALGHAR PARABHANI PUNE RAIGAD RATNAGIRI SANGLI SATARA SINDHUDURG SOLAPUR THANE WARDHA WASHIM YAVATMAL

Designation * EO /EI Secondary EO /EI Secondary

First Name *

Middle name *

Last Name *

Please enter your valid / working Mobile number & Email Id as your Login ID & Password will be shared on this registered mobile number & Email Id

कृपया आपला वैध / कार्यरत मोबाईल क्रमांक आणि ईमेल आयडी प्रविष्ट करा कारण आपला लॉगिन आयडी आणि पासवर्ड या नोंदणीकृत मोबाइल क्रमांकावर आणि ईमेल आयडीवर पाठविला जाईल.

Mobile Number *

Email Id *

Science Supervisor Name *

Science Supervisor Mobile Number *

Office Address *

Office Landline Number *

Office Email Id *

EO/EI / Personal Bank Account Holder Name *

EO/EI / Personal Bank Name *

Branch Address *

EO/EI / Personal Bank Account Number *

IFSC Code *