| Given Name |
Enter your given name (first name + middle name). You can enter up to 45 characters. Initials and honorifics (e.g. Dr., Col., etc.) are not allowed. |
| Surname |
Enter your surname. You can enter up to 45 characters. |
| Have you ever been known by other names (aliases)? |
Select Yes, if you have ever been known by any other name(s), else select No. |
| Alias Name1, Given Name (Given Name means First Name and Middle Name) |
Enter your alias name (first name + middle name). You can enter up to 45 characters. Initials and honorifics (e.g. Dr., Col., etc.) are not allowed. |
| Alias name1,Surname |
Enter the surname, if any, in the alias name. You can enter up to 45 characters. |
| Alias Name2, Given Name (Given Name means First Name and Middle Name) |
Enter your second alias name (first name + middle name). You can enter up to 45 characters. Initials and honorifics (e.g. Dr., Col., etc.) are not allowed. |
| Alias name2,Surname |
Enter the surname, if any, in the second alias name. You can enter up to 45 characters. |
| Have you ever changed your name? |
Select Yes, if you have ever changed your name. Even if you have marginally changed your name or have changed your name/ surname after marriage select Yes, else select No. |
| Previous Name1, Given Name (Given Name means First Name and Middle Name) |
Enter your previous name (first name + middle name). You can enter up to 45 characters. Initials and honorifics (e.g. Dr., Col., etc.) are not allowed. |
| Previous name1,Surname |
Enter the surname, if any, in the previous name. You can enter up to 45 characters. |
| Previous Name2, Given Name (Given Name means First Name and Middle Name) |
Enter another previous name (first name + middle name). You can enter up to 45 characters. Initials and honorifics (e.g. Dr., Col., etc.) are not allowed. |
| Previous name2,Surname |
Enter the surname, if any, in the previous name. You can enter up to 45 characters. |
| Date of Birth |
Enter your date of birth (DD/MM/YYYY). You may select date from the calendar. |
| Place of Birth (Village/Town/City) |
Enter place of your birth. |
| State / UT (If born in India) |
If you were born in India, please select the state/union territory where you were born. |
| District (If born in India) |
If you were born in India, please enter the district where you were born. |
| Country (If Born Abroad) |
If you were not born in India, please enter the country where you were born. If born before 15/08/1947 in a place now in Pakistan or Bangladesh, enter "Undivided India". |
| Gender |
Select Male, Female or Transgender to indicate your gender. |
| Marital Status |
Select one of the options to indicate your marital status Note: If you are legally separated from your spouse, select Divorced. If you are living separately from your spouse, but are not legally separated, select Separated. |
| Citizenship of India by |
Select one option to indicate the kind of your citizenship. Birth: If you are a citizen of India by birth (born to Indian parents) Descent: If you were born abroad to Indian parents and returned to India long back Registration/Naturalization: If you have been granted citizenship by the Ministry of Home Affairs in India |
| PAN (if available) |
Enter your income tax Permanent Account Number (PAN), if any. |
| Voter ID (if available) |
Enter your voter identification number, if any. |
| Employment Type |
Select one of the options to indicate the type of your employment. |
| Is either of your parent (in case of minor)/spouse, a government servant? |
Select 'Yes', if either of your parent (in case of minor)/spouse is a government servant, else select 'No'. |
| Educational qualification |
Select an option to indicate your educational qualification. |
| Is applicant eligible for Non-ECR category? |
Select Yes, if you are eligible for Emigration Check Not Required (ECNR), else select No. |
| Visible distinguishing mark |
Enter any visible distinguishing mark on your body. |