User Application Form

Name* :

Registration Type* :

Date of Birth :

Father Name :

Gender* :

Email:

School Name :

Class :

Roll Number(Optional) :

Aadhar Number:

State* :

District*:

Mobile No.*:

Whatspp No.:

Address*:

Profile Picture:

Account Number: 7219053818

Bank Name: INDIAN BANK

IFSC Code: IDIB000P610

Holder Name: JANVISHISHT FOUNDATION

Receipt Upload: