DSW Portal

REGISTER DEPENDANT/ORPHAN

Instructions
1. ESM registration Fee Rs. 100/- charges.
2. Widow & Dependent Registration free.
3. Fill the All the mandatory(*) info to get Registered Successfully.
4. Upload your documents PDF format . The document should be visibly readable or else the documents will be rejected.
5. Mobile Number & Password is OTP for ESM Login.
6. Your application take print out and visit ZSWO Office with your all original document for verification.

सूचना
1. माजी सैनिकासाठी नोंदणी शुल्क रु.100/-.
2. विधवा आणि अवलंबित यांना नोंदणी विनाशुल्क.
3. यशस्वीरित्या नोंदणी करण्यासाठी कृपया सर्व अनिवार्य(*) माहिती भरा.
4. तुमचे दस्तऐवज PDF फॉरमॅट मध्ये अपलोड करा. दस्तऐवज स्पष्ट दिसणारे व वाचण्यायोग्य असावेत अन्यथा कागदपत्रे नाकारली जातील.
5. ESM Login साठी मोबाईल नंबर आणि पासवर्ड OTP आहे.
6. तुमचा अर्ज प्रिंट आउट घ्या आणि पडताळणीसाठी तुमच्या सर्व मूळ कागदपत्रांसह ZSWO कार्यालयाला भेट द्या.

Part 1- ESM Information

ESM Category: *

Self Info of Dependant/Orphan

First Name: *

Middle Name

Surname: *

Service Number of ESM : *

Do you have an Existing ESM Id Card ? :

Yes

Info of Father/Mother

First Name: *

Middle Name

Surname: *

Service Number of ESM : *

Do you have an Existing ESM Id Card ? :

Yes

Father's Name/Husband's Name : *

Type of Service of ESM : *

Rank of ESM : *

Concerned RSB : *

Date of Birth :*

Date of Enrollment :

Date of Discharge : *

Email :*

Mobile No. : *

Verified

Generate OTP & Verify Mobile Number SMS Sent Successfully Verify

Resend Otp in Resend Otp

Part 2- Family Information

Relation :*

First Name *

Middle Name: *

Surame: *

Date of Birth : *

Relation :*

First Name *

Middle Name: *

Surame: *

Date of Birth : *

Relation :*

First Name *

Middle Name: *

Surame: *

Date of Birth : *

Relation :*

First Name *

Middle Name: *

Surame: *

Date of Birth : *

Relation :*

First Name *

Middle Name: *

Surame: *

Date of Birth : *

Part 3 Address Information

Current Address

House No. : *

Street No. & Name : *

Town :

Village : *

City :

State : *

District :*

Country : *

Pincode : *

Permanent Address

My Permanent Address is same as current address

House No. : *

Street No. & Name : *

Town :

Village : *

City :

State : *

District :*

Country : *

Pincode : *

Part 4 Bank Information

Name Of Bank Account Holder : *

Bank Name :*

Other Bank Name :

Branch Name : *

Account No. : * (Kindly enter your bank account number which is linked with aadhar to ensure correct payment)

IFSC Code : *

Pensioner/Non Pensioner : *

PPO Number: *

Part 5 Documents

Document	Document Number	Upload
Adhar Card	Adhar No. :* Adhar No. :* Adhar No. :*	Addhar Card
Pan Card	Pan No. :*	Pan Card
Discharge Book	Discharge Book Name/Number :*	Discharge Book All Pages
PPO		PPO
Pension Passbook Front Page	Bank Name/Account Number :*	Pension Passbook Front Page
ECHS Card	ECHS Card Number :* Note:- If selected yes above	ECHS Card
User Photo		User Photo
Other Document	Other Document Number	Other Document File
Other Document	Other Document Number	Other Document File
Other Document	Other Document Number	Other Document File

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