Registration of Bulk Consumers/ Institutions for PDS

All * marked fields are mandatory.
Type of Institution * :
Name of Institution *
:
District * : Block/ULB * :
No. of Boarders *
: Scheme * :
Name of Contact Person * : Designation *  
Mobile / Telephone No. * :    
Declaration : I hereby declare that all the particulars furnished above are correct to the best of my knowledge . I shall be held responsible for any incorrect information.