Awareness Activity

Fields marked with * are mandatory.

CSC ID :*

Name :*

Mobile Number:*

State:*

District:*

Block:*

Panchayat:*

Activity Type :*

Pre Awareness Image 1:*

Pre Awareness Image 2:*

Beneficiary Details :*

Awareness Video :

Beneficiary Details-Format

Submit Clear

Note:

1. Only image files with .jpg/ .jpeg/ .gif/ .png extension are allowed.
2. Up to 1 MB image are allowed.
3. Only video files with .mp4 extension are allowed.
4. Up to 5 MB video are allowed.
5. Please upload Beneficiary Details as attached format.