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Registration Form For Advertisement

Note: Fields marked with an asterisk (*) are mandatory

Contact Details

Mobile Number

Email ID

Telephone

Details of Applicant

First Name

Middle Name

Last Name

Date Of Birth

Gender

Name Of Agency

Mode of Advertisement

Property Address

EasyCity Code

Address

Upload Documents

Identity Proof (Any One)

Document Number

*(Supported formats .jpg,.jpeg,.png,.pdf)(max. 2MB)

Applicant Photo*

*(Supported formats .jpg,.jpeg,.png)(max. 2MB)

Bank Details

IFSC Code

Bank Name

Branch Name

Account Holder Name

Account Number

The information provided can't be changed once submitted, confirm to proceed.

I will abide to The Rules “Dadra and Nagar Haveli Municipal Council (Tax on Advertisement) Rules, 2018 in the case of registration as well as Application before paying any fees..

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