Agent Registration | Directorate of Small Savings, Manipur

All fields marked with (*) are mandatory.
Application with incomplete/wrong information will be rejected.
Applicant must bring all their original testimonial to the office of the Directorate of Small Savings, Manipur for verification and completion of the registration.
Size of Passport Photo should not exceed 100Kb.
Size of Signature should not exceed 70Kb.
Size of all Certificates should not exceed 500Kb.
Valid file types are .jpg, .jpeg, .png, .bmp, .pdf.

Name of the Applicant

Father's Name/ Guardian Name

Date of Birth

Gender

Mobile Number

Email Id

Voter ID Card Number

Aadhar Number

Pan Number

Passport Photo (upto 100Kb)

Signature (upto 70Kb)

Scan copy of Antecedent Certificate (upto 500Kb)

Scan copy of Residential Certificate (upto 500Kb)

Scan copy of Character Certificate (upto 500Kb)

Address for Correspondence ( including city, state, district and pincode)

Permanent Address ( including city, state, district and pincode) Same as Address for Correspondence

Educational Qualification

Place

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