Application for Student ID Card

Details
Parent Category: Departments
Category: General Office
  • Request an ID card by filling out the form.
  • Rs. 50 for 1 ID card
  • Please submit your ID card to General Office, if you decide to terminate your commitment with us. Any abuse of ID card is strictly prohibited.
  • The ID card is issued to only official staff of Asha Seva Kendra.

ID Card Application Form

Please fill out this form.

Full Name as it appears on your Adhar Card *First Name, Middle Name and Last Name (Given Name, Surname)
Adhar Card Number *
Upload your Photo *Image max file size is 1MB
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Date of Birth *Date of birth format we are using is dd/mm/yyyy. For instance, if your birth-date is Janaury 9, 1984, it will be filled in as 09/01/1984
Course Code *
Enter your email address *
Confirm email address *
Emergency Contact Full Name and your relation
Emergency Contact Number 1
+91
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    Emergency Contact Number 2 *
    +91
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      Your Full Home Address: Include House No, Locality-Area, Village, Town, District, State, PIN code etc.
      Course Start Date: *We are using is dd/mm/yyyy. For instance, if you want to fill in January 9, 2022, it will be filled in as 09/01/2022
      Course end date: *We are using is dd/mm/yyyy. For instance, if you want to fill in January 9, 2022, it will be filled in as 09/01/2022
      Signature *
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      Submit