ECS Nitya Seva Registration Form

Nitya Seva Registration Form

Name

Please enter a valid name without numbers or special characters.

Mobile Number

Please enter a valid 10-digit mobile number starting with 6-9.

Telephone/Mobile Number

Please enter a valid telephone number (10-12 digits).

Please enter a valid email address.

Collection Amount

Please enter a valid collection amount.

Frequency

Please select a frequency.

ECS Start Date

Please select a valid start date.

Account Name

Please enter a valid account name without numbers or special characters.

Customer Bank Account Number

Please enter a valid account number (9-18 digits).

Confirm Bank Account Number

Account numbers do not match.

Account Type

Please select an account type.

Bank Name

Please select a bank.

IFSC Code

Please enter a valid IFSC code (e.g., ABCD0123456).