| Employee Code : |
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| Date of Birth [DD-MON-YYYY] : |
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| PAN Number : |
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* |
| PF Acc No : |
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* |
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eg:- UP/1860/83695. PF Account No is |
83695 |
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| Mobile No : |
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* |
| Email Id : |
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| UAN : |
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| Password : |
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* |
| Confirm Password : |
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* |
| Require OTP on every Login : |
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Note:- Fields marked with asterisk(*) are mandatory.
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