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
IMPHAL WEST
SENAPATI
IMPHAL EAST
THOUBAL
CHURACHANDPUR
BISHNUPUR
UKHRUL
CHANDEL
TAMENGLONG
Tehsil / तहसील *
Choose
IMPHAL - PIN CODE 795004
KANGPOKPI - PIN CODE 795129
KARONG - PIN CODE 795007
MAKHAN KHUMAN - PIN CODE 795015
YANGKHULLEN - PIN CODE 795150
NONGDAM - PIN CODE 795145
THOUBAL - PIN CODE 795130
CHURACHANDPUR - PIN CODE 795128
SINGNGAT - PIN CODE 795139
SONGTAL - PIN CODE 795139
BUKPI - PIN CODE 795143
AINA - PIN CODE 795128
BISHNUPUR - PIN CODE 795126
KHARASOM - PIN CODE 795142
MAREM - PIN CODE 795142
UKHRUL - PIN CODE 795142
KAMJONG - PIN CODE 795145
PUNGE - PIN CODE 795145
HAIKOT - PIN CODE 795135
TENGNOUPAL - PIN CODE 795131
CHANDEL - PIN CODE 795127
CHAKPIKARONG - PIN CODE 795102
TAMEI - PIN CODE 795125
TAMENGLONG - PIN CODE 795141
NONEY - PIN CODE 795159
KHOUPUM VALLEY - PIN CODE 795159
TOLEN - PIN CODE 795147
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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