@if (session('message'))

{{ session('message') }}

@endif @if (session('error'))

{{ session('error') }}

@endif @php $CandidateName = ''; $dayCal = ''; $monthCal = ''; $yearCal = ''; $genderCal = ''; @endphp

@csrf @if(!empty($candidatepreregister['ReferenceID'])) @php $CandidateName = $candidatepreregister['AadharName']; $DobArray = explode('-',$candidatepreregister['AadharDOB']); $dayCal = $DobArray[0]; $monthCal = $DobArray[1]; $yearCal = $DobArray[2]; if($candidatepreregister['AadharGender']=='M'){ $genderCal = 4; }elseif($candidatepreregister['AadharGender']=='F'){ $genderCal = 5; }else{ $genderCal = 6; } @endphp

Aadhaar Details

Candidate's Name :

Candidate's Date of Birth :

Gender :

@if($candidatepreregister['AadharGender']=='M') Male @elseif($candidatepreregister['AadharGender']=='F') Female @else Other @endif

@elseif(isset($candidatepreregister['Digilocker_id']) && ($candidatepreregister['Digilocker_id'] != '')) @php $CandidateName = $candidatepreregister['Digilocker_CandidateName']; $DobArray = explode('-',$candidatepreregister['Digilocker_DOB']); $dayCal = $DobArray[0]; $monthCal = $DobArray[1]; $yearCal = $DobArray[2]; if($candidatepreregister['Digilocker_Gender']=='M'){ $genderCal = 4; }elseif($candidatepreregister['Digilocker_Gender']=='F'){ $genderCal = 5; }else{ $genderCal = 6; } @endphp

Digilocker Details

Digilocker ID :

Candidate's Name :

Candidate's Date of Birth :

Gender :

@if($candidatepreregister['Digilocker_Gender']=='M') Male @elseif($candidatepreregister['Digilocker_Gender']=='F') Female @else Other @endif

@elseif(isset($candidatepreregister['ABC_account_id']) && ($candidatepreregister['ABC_account_id'] != '')) @php $CandidateName = $candidatepreregister['ABC_CandidateName']; $DobArray = explode('-',$candidatepreregister['ABC_DOB']); $dayCal = $DobArray[0]; $monthCal = $DobArray[1]; $yearCal = $DobArray[2]; if($candidatepreregister['ABC_Gender']=='Male'){ $genderCal = 4; }elseif($candidatepreregister['ABC_Gender']=='Female'){ $genderCal = 5; }else{ $genderCal = 6; } @endphp

ABC Details

ABC ACCOUNT ID :

ABC NAME :

ABC GENDER :

ABC DOB :

@elseif(isset($candidatepreregister['PassportNumber']) && ($candidatepreregister['PassportNumber'] != ''))

Passport Number

Passport Number :

@elseif(isset($candidatepreregister['PanCard']) && ($candidatepreregister['PanCard'] != ''))

Pan Card Number

Pan Card Number :

@elseif(isset($candidatepreregister['OutsideIndiaPassportNumber']) && ($candidatepreregister['OutsideIndiaPassportNumber'] != ''))

Non-Indian Passport Number

Non-Indian Passport Number :

@endif

Registration Page

Candidate's Name *

Note : Please do not use any prefix such as Shri/ Mr./ Ms./ Dr./ Mrs. Etc. @error('CandidateName')

@enderror

Father's / Guardian Name *

Note : Please do not use any prefix such as Shri/ Mr./ Dr. Etc. @error('FatherName')

@enderror

Mother's / Guardian Name *

Note : Please do not use any prefix such as Shri/ Mr./ Dr. Etc. @error('MotherName')

@enderror

Candidate's Date of Birth*

@error('day')

@enderror

@error('month')

@enderror

@error('year')

@enderror

Gender *

Email Address *

@error('email')

@enderror

Confirm Email Address *

@error('confirmMail')

@enderror

Mobile Number *

@error('mobileCode')

@enderror

@error('mobile')

@enderror

Confirm Mobile Number *

@error('mobileCode')

@enderror

@error('mobile')

@enderror

Alternate Contact No.

@error('alternateMobile')

@enderror

Identity Type *

@error('IdentityID')

@enderror

Identification Number *

@error('IdentityNumber')

@enderror

Present Address

Premises No./ Name *

@error('PremisesName')

@enderror

Sub-Locality(Optional):

@error('SubLocality')

@enderror

Locality *

@error('Locality')

@enderror

Country *

@error('CountryID')

@enderror

State *

@error('StateUTID')

@enderror

District *

@error('DistrictID')

@enderror

Pin Code *

@error('PinCode')

@enderror

Permanent Address

Same as Present Address

@error('checkboxName')

@enderror

Premises No./ Name *

@error('PermanentPremisesName')

@enderror

Sub-Locality(Optional):

@error('PermanentSubLocality')

@enderror

Locality *

@error('PermanentLocality')

@enderror

Country *

@error('PermanentCountryID')

@enderror

State *

@error('PermanentStateUTID')

@enderror

District *

@error('PermanentDistrictID')

@enderror

Pin Code *

@error('PermanentPinCode')

@enderror

Choose Password

Password *

@error('password')

@enderror Note : At least one upper case letter [A-Z], At least one lower case letter [a-z]. Numbers: At least one number [0-9], Special Characters: At least one symbol [@$!%*#?&_] Password Length: Minimum 8 characters and Maximum 13 characters.

Confirm Password *

@error('confirmPassword')

@enderror

Security Question *

@error('SecurityQuestionID')

@enderror

Security Answer*

@error('SecurityAnswer')

@enderror

Security Pin

Security PIN as Shown Below*

@error('pinValue')

@enderror

Security PIN *

{!! captcha_get_html() !!}

I AGREE

@error('declarationCheck')

@enderror

I hereby declare that all the particulars started in this application form are true to the best of my knowledge and belief. I have read the Information Bulletein for SSS - 2024 and understood the procedures. I shall abide by the terms and conditions thereon.

@endsection @push('js') @endpush

Candidate's Name:		Father's Name:
Mother's Name:		Date Of Birth
Gender:		Email Address:
Candidate Mobile:		Alternate Mobile:
Identity Type:		Identity Number:

पता (Premises No/ Name):		उप-स्थानीयता (Sub-Locality)(Optional):
स्थानीयता (Locality):		देश (Country):
राज्य (State):		जिला (District):
पिन कोड (Pin Code):

पता (Premises No/ Name):		उप-स्थानीयता (Sub-Locality)(Optional):
स्थानीयता (Locality):		देश (Country):
राज्य (State):		जिला (District):
पिन कोड (Pin Code):