Digital E-Service Network
ALWAYS USE LATEST VERSION OF BROWSER TO GET BEST RESULT
Step 1 message
Keep the Scan copy of documents ready before filling the form
Scan copy: Recent Colour passport photo
Scan copy: Aadhaar (You should blur Aadhar number and upload)
Scan copy: PAN
Scan copy: Bank passbook/ Cancelled cheque / Statement
Agent List excel file for Channel Partner application
Full Name
Father Name
Date of Birth
Mobile No.
OTP sent to mobile
Email Id
OTP sent to email id
Get OTP
Email OTP
Next
Step 2 message
City
PIN Code
State
Please select
Andaman and Nicobar (AN)
Andhra Pradesh (AP)
Arunachal Pradesh (AR)
Assam (AS)
Bihar (BR)
Chandigarh (CH)
Chhattisgarh (CG)
Dadra and Nagar Haveli (DN)
Daman and Diu (DD)
Delhi (DL)
Goa (GA)
Gujarat (GJ)
Haryana (HR)
Himachal Pradesh (HP)
Jammu and Kashmir (JK)
Jharkhand (JH)
Karnataka (KA)
Kerala (KL)
Lakshdweep (LD)
Madhya Pradesh (MP)
Maharashtra (MH)
Manipur (MN)
Meghalaya (ML)
Mizoram (MZ)
Nagaland (NL)
Odisha (OD)
Puducherry (PY)
Punjab (PB)
Rajasthan (RJ)
Sikkim (SK)
Tamil Nadu (TN)
Telangana (TS)
Tripura (TR)
Uttar Pradesh (UP)
Uttarakhand (UK)
West Bengal (WB)
Address
Back
Next
Step 3 message
PAN No.
PAN scan copy
Uploaded successfully
Upload
AADHAAR
AADHAAR scan copy
Uploaded successfully
Upload
Upload Photo [JPG Only]
Uploaded successfully
Upload
Back
Next
Step 4 message
Bank Name
A/C No.
IFS Code
Branch Name
Cancelled Cheque/ Passbook/ Statement
Uploaded successfully
Upload
Agent List (Xls, Xlsx Files Only)
Uploaded successfully
Upload
Apply for IRCTC services
Apply for PM-JAY (Pradhan Mantri Jan Arogya Yojana) service
Submit
