Registration Form

नोंदणी फॉर्म

Maharashtra Navnirman Sena – Primary Member Registration

Mobile

OTP

Terms

Details

Done

Step 1 of 5

Select language & mobile number

Choose your preferred language and enter your 10-digit mobile number to receive an OTP.

Select language

E English

म मराठी

ह हिंदी

Mobile number *

Please enter a valid 10-digit mobile number.

Step 4 of 5

Personal details & address

Fields marked * are mandatory. Please keep your Voter ID card handy — form cannot be submitted without Voter ID number.

Personal information

First name *

Required

Last name *

Required

Father's / Husband's name *

Required

Date of birth *

Required (must be 18+)

Gender *

Required

Education qualification

Occupation

Voter ID (EPIC) number *

Voter ID is mandatory. Form cannot be submitted without it.

Email address

Residential address (Maharashtra only)

Address line 1 *

Required

Address line 2

Village / City *

Required

Taluka

District *

Required

PIN code *

Enter valid 6-digit PIN

Passport-size photograph

📷

Click to upload photo

Passport-size, plain background · JPG, PNG · Max 2MB

Please upload your passport-size photo.

Please fill all required fields correctly.

Primary Member Registration

Mobile

Terms

Details

Done

Step 1 of 4

Select language & mobile number

Choose your preferred language and enter your 10-digit mobile number.

Select language

E English

म मराठी

ह हिंदी

Mobile number *

Please enter a valid 10-digit mobile number.

Step 3 of 4

Personal details & address

Fields marked * are mandatory. Please keep your Voter ID card handy — form cannot be submitted without Voter ID number.

Personal information

First name *

Required

Last name *

Required

Father's / Husband's name *

Required

Date of birth *

Required (must be 18+)

Gender *

Required

Education qualification

Occupation

Voter ID (EPIC) number *

Voter ID is mandatory. Form cannot be submitted without it.

Email address

Residential address (Maharashtra only)

Address line 1 *

Required

Address line 2

Village / City *

Required

Taluka

District *

Required

PIN code *

Enter valid 6-digit PIN

Passport-size photograph

📷

Click to upload photo

Passport-size, plain background · JPG, PNG · Max 2MB

Please upload your passport-size photo.

Please fill all required fields correctly.

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