Har Ghar Jal Quiz
Jal Jeevan Mission
Department of Drinking Water & Sanitation
Ministry of Jal Shakti (GOI)
Registration form
Winner’s Bank Details capturing form
Authenticate via mobile or email address:-
Mobile
Email
Mobile No (MyGov winners)
*
Verified
Verification Code:
Resend OTP after :
Email Id (MyGov winners)
*
Verified
Verification Code:
Resend OTP after :
Enter Your Bank Account Details
Account Holder Name
*
Residential Address
*
Bank Account No
*
IFSC Code
*
Select IFSC Code from List
Bank Name
*
Branch Address
Pan Number
MICR Code
Upload Cancelled Cheque/Passbook
*
Please upload file having extensions .pdf, .jpg, .jpeg, .png only and size does not exceed 500KB .
Sample Cancelled Cheque/Passbook
Note:
Fields marked with an asterisk (
*
) are compulsory and must be filled out to proceed with the submission.
My bank account details submitted above are duly verified for the process of release of Har Ghar Jal Quiz prize money to me digitally.
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