Yatri Registration

One Mobile Number Can Be Used For Registering Upto 4 Applicants. | Application Once Submitted Cannot Be Edited.

  Yatra Details

Route of Yatra: *

Date of Yatra: *




  Yatri Details

Yatri's Full Name: *

Father / Husband's Name: *

Gender: *

Date of Birth: *

Mobile No: *for receiving OTP / advisories

Emergency Mobile No:

Email Address:

Aadhar No:

State: *

District: *

Name of Next of Kin: *

Relationship With Kin: *

Blood Group:

Yatri Address: *

  Medical Details

State: *

District: *

Hospital: *

Authority Name: *

Photograph: *.jpg,.jpeg,max. 1MB

Medical Certificate: *Only pdf,max 1MB

Certificate Issue Date: *

Captcha

Enter Text as Shown Above: *



                                                                                               
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