Contact Us: 03192-230815 ⁄ 232388 (Fax)
Email:
regcoop@and.nic.in
REGISTRAR OF COOPERATIVE SOCIETIES
User Registration of Chief Promoter
Note: All fields are mandatory
Aadhaar Consent Form
Full Name
Father's/Spouse Name
Address
Mobile Number
District
SELECT
SOUTH ANDAMAN
NORTH & MIDDLE ANDAMAN
NICOBAR
Tehsil
SELECT
Village
SELECT
Circle
SELECT
Photo Identity Type
SELECT
Aadhar Card alongwith Consent Form
Driving License
Islander Card
Ration Card
PAN Card
Voter ID
Passport
Document No.
Upload Identity Document (Only JPG File, Max. Size:100KB)
User Name
Password
Retype Password
Security Question
SELECT
What city were you born in?
What is your favorite color?
What year did you graduate from High School?
What is your favorite model of car?
What is your pet name?
Security Answer
Declaration
I do hereby declare that all statements made in this application are true, complete and correct to the best of my knowledge and belief. I do understand that, if any discrepancies are found between the data/information filled by me in the online registration process, my application is liable to be cancelled.
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