Block Co-ordinator Registration Form Applied ForAgraAligarhAllahabadAmbedkar NagarAmethi (Chatrapati Sahuji Mahraj Nagar)Amroha (J.P. Nagar)AuraiyaAzamgarhBaghpatBahraichBalliaBalrampurBandaBarabankiBareillyBastiBhadohiBijnorBudaunBulandshahrChandauliChitrakootDeoriaEtahEtawahFaizabadFarrukhabadFatehpurFirozabadGautam Buddha NagarGhaziabadGhazipurGondaGorakhpurHamirpurHapur (Panchsheel Nagar)HardoiHathrasJalaunJaunpurJhansiKannaujKanpur DehatKanpur NagarKanshiram Nagar (Kasganj)KaushambiKushinagar (Padrauna)Lakhimpur - KheriLalitpurLucknowMaharajganjMahobaMainpuriMathuraMauMeerutMirzapurMoradabadMuzaffarnagarPilibhitPratapgarhRaeBareliRampurSaharanpurSambhal (Bhim Nagar)Sant Kabir NagarShahjahanpurShamali (Prabuddh Nagar)ShravastiSiddharth NagarSitapurSonbhadraSultanpurUnnaoVaranasi StateUttar Pradesh DistrictAgraAligarhAllahabadAmbedkar NagarAmethi (Chatrapati Sahuji Mahraj Nagar)Amroha (J.P. Nagar)AuraiyaAzamgarhBaghpatBahraichBalliaBalrampurBandaBarabankiBareillyBastiBhadohiBijnorBudaunBulandshahrChandauliChitrakootDeoriaEtahEtawahFaizabadFarrukhabadFatehpurFirozabadGautam Buddha NagarGhaziabadGhazipurGondaGorakhpurHamirpurHapur (Panchsheel Nagar)HardoiHathrasJalaunJaunpurJhansiKannaujKanpur DehatKanpur NagarKanshiram Nagar (Kasganj)KaushambiKushinagar (Padrauna)Lakhimpur - KheriLalitpurLucknowMaharajganjMahobaMainpuriMathuraMauMeerutMirzapurMoradabadMuzaffarnagarPilibhitPratapgarhRaeBareliRampurSaharanpurSambhal (Bhim Nagar)Sant Kabir NagarShahjahanpurShamali (Prabuddh Nagar)ShravastiSiddharth NagarSitapurSonbhadraSultanpurUnnaoVaranasi Date of Birth ReligionHinduMuslimJainSikhChristianOther Bank Details Education Details Class 10th Class 12th Graduation Post Graduation Upload Documents Upload Aadhar (Max200kb) Upload Photo Upload Education Certificate Upload Bank Statement/Passbook