USER MANAGEMENT
Register
User Name
*
Should be valid EmailId
Password
*
Should Contain Combination of Number,Special Character,Capital Letter and Small Letter
Retype-Password
*
Full Name
*
Mobile
*
Register as
*
null
Nodal Organization
*
null
Institute Type
*
---Select---
Organization
*
Not required for Pharmacist,Registrar,Superintendent
--Select--
New Institute
State
*
null
District
*
--Select--
Sub District
--Select--
Village
--Select--
Street
*
Locality
Pincode
*
Userid Hint Question 1
*
Special characters not allowed
Hint Answer 1
*
Special characters not allowed
Userid Hint Question 2
Hint Answer 2
Password Hint Question 1
*
Special characters not allowed
Password Hint Answer 1
*
Special characters not allowed
Password Hint Question 2
Password Hint Answer 2