Your Rank (if you are ex-defence) / आपका रंक (यदि आप पूर्व सैनिक हैं)
Your answer
Mobile Number (permanent mobile number only) / मोबाइल नंबर (स्थायी मोबाइल नंबर) *
Your answer
Is this a Smart phone? / क्या यह स्मार्ट फोन है? *
District / जिला *
Choose
DIMAPUR
KIPHIRE
KOHIMA
LONGLENG
MOKOKCHUNG
MON
PEREN
PHEK
TUENSANG
WOKHA
ZUNHEBOTO
NOKLAK
Tehsil / तहसील *
Choose
DIMAPUR- PIN CODE 797112
MEDZIPHEMA - PIN CODE 797106
KIPHIRE - PIN CODE 798611
KEOR - PIN CODE
KOHIMA - PIN CODE 797001
PHENDA - PIN CODE 797109
LONGLENG- PIN CODE 798625
MOKOKCHUNG - PIN CODE 798601
TULI - PIN CODE 798618
MON Village- PIN CODE 798621
TIZIT - PIN CODE 798602
PEREN - PIN CODE 797101
JALUKIE - PINE CODE 797110
CHOZUBA - PIN CODE 797104
MELURI- PINE CODE 797114
TUENSANG - PIN CODE 798626
SHAMATOR- PIN CODE 798612
WOKHA - PIN CODE 797111
BAGHTY - PIN CODE
ZUNHEBOTO - PIN CODE 798620
LUMAMI - PIN CODE 798627
NOKLAK - PIN CODE 798626
PIN No. / पिनकोड नंबर *
Your answer
How would you like to receive payment? / आप भुगतान कैसे प्राप्त करना चाहेंगे?
Clear selection
Provide Bank details if you have selected Bank Account - (Account Holder Name, Bank Name, Place, Account No and IFSC Code) / यदि आपने बैंक खाता चुना है तो बैंक विवरण प्रदान करें - (बैंक का नाम, खाता संख्या, IFSC कोड)
Your answer
Postal Address (for receiving mail) Name, Father Name, Village, PO, Tehsil, Thana, Zila or pin code / डाक पता (मेल प्राप्त करने के लिए) *
Your answer
Is this your permanent Residence? / क्या यह आपका स्थायी निवास है *
Email (ईमेल पता)
Your answer
Submit
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