Ko Registration
Personal Details
Name:
Date of Birth:
Gender:
Male
Female
Education:
Class X
Class XII
Graduate
Post Graduate & above
Father's Name:
Phone Number:
Password:
Telephone Number:
Email:
Working Location details
State id:
---------
ODISHA
Location Category:
Rural
Urban
Semi Urban
Metro
Pin code:
Dist id:
---------
Ganjam
Sambalpur
Baleshwar
Bhadrak
Koraput
Khordha
Nayagarh
Gajapati
Balangir
Debagarh
Nuapada
Puri
Rayagada
Baudh
Jajapur
Kandhamal
Dhenkanal
Kalahandi
Jharsuguda
Subarnapur
Cuttack
Anugul
Bargarh
Kendrapara
Sundargarh
Mayurbhanj
Kendujhar
Jagatsinghapur
Nabarangapur
Malkangiri
Sub District:
----------
Village:
----------
Ref by:
Link branch code:
Latitude:
Longitude:
Dist frm csp:
Dist frm branch:
Communication Details
At (Present Address):
Gram Panchayat (Present Address):
Via (Present Address):
Post (Present Address):
Police Station (Present Address):
Block (Present Address):
Present add dist:
---------
Ganjam
Sambalpur
Baleshwar
Bhadrak
Koraput
Khordha
Nayagarh
Gajapati
Balangir
Debagarh
Nuapada
Puri
Rayagada
Baudh
Jajapur
Kandhamal
Dhenkanal
Kalahandi
Jharsuguda
Subarnapur
Cuttack
Anugul
Bargarh
Kendrapara
Sundargarh
Mayurbhanj
Kendujhar
Jagatsinghapur
Nabarangapur
Malkangiri
Present pin:
Same as present address
At (Permanent Address):
Gram Panchayat (Permanent Address):
Via (Permanent Address):
Post (Permanent Address):
Police Station (Permanent Address):
Block (Permanent Address):
Permanent add dist:
---------
Ganjam
Sambalpur
Baleshwar
Bhadrak
Koraput
Khordha
Nayagarh
Gajapati
Balangir
Debagarh
Nuapada
Puri
Rayagada
Baudh
Jajapur
Kandhamal
Dhenkanal
Kalahandi
Jharsuguda
Subarnapur
Cuttack
Anugul
Bargarh
Kendrapara
Sundargarh
Mayurbhanj
Kendujhar
Jagatsinghapur
Nabarangapur
Malkangiri
Permanent pin:
Misc. Details
Check facility:
Whatsapp Number:
Total population:
No of household:
No. of Accounts expected:
Appx no bussiness est:
Main activity of ppl:
Annual Business expected:
Potential btmw:
No of years in vil:
Languages known:
Profile picture:
Dynamic Identification Proof
PAN CARD
IIBF Certificate
Police Verification
Yes
No
Are you physically challenged?
Yes
No
Are you computer educated? If yes, Please Upload the Certificate.
Yes
No
Are you in any SHG group, please submit the name of SHG
Votor ID (1. Front Side)
Pan Card
Aadhaar Card (1. Front Side)
Driving Licence
Passport
10th/Equivalent Certificate
Yes
No
+2/Equivalent Certificate
Yes
No
Graduate Certificate
Yes
No
Post Graduate Certificate
Yes
No
IIBF Certificate
No Dues Certificate/CIBIL Report
Yes
No
Police Verification Certificate (PVR)
Do you have your own house where you applied for CSP? Please Upoad the Proof
Yes
No
House rent agreement where you applied for CSP
Yes
No
Address Proof (Telephone Bill, Electric Bill)
Yes
No
Name, Contact No. of two people to whom reference may be made
KO Declaration for SubKo(Only after LOGIN)
Yes
No
Account Number (Only for New CSP)
Notary Affidavit/Declaration
Yes
No
Aadhaar Card (2. Back Side)
Votor ID (2. Back Side)
Current Account Proof for Settlement
DRA Certificate
Yes
No
Internet Connection (Mobile Data, VSAT, Broadband)
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