New User Registration

Please provide the requested information:
Note - All fields marked in * are mandatory
User Details
User Category*:       What's this?
User Role*:
First Name
Middle Name :
Last Name
Date of Birth*: CALENDAR (dd/mm/yyyy) Gender*:
Contact Details (Please provide correct details for any correspondence purpose)
 Address Line1 *:
 Address Line2:
Address Line3:
City*:
State *:
Country*:
Pin Code*:
Telephone No. (Res) :  Telephone No. (Off): 
Whether you wish to avail SMS alert facility : Presently, this facility is applicable only for Annual Filing eForms i.e. 20B, 23AC, 23ACA, 66 and 21A.
Mobile :  Fax: 
Email Id *:
Confirm Email Id*:
Note:Please make sure you provide a valid email address as your user account details shall be sent to this address
Login Details
User Name*: ID should be between 8-11 characters & should consist of A-Z,a-z and 0-9
Password*: Should be between 8-11 characters & should consist of atleast one A-Z,
a-z and 0-9.At least one special character(!,@,#,$,^,&,*,(,),~) should be present.
Confirm Password*:
Password Recovery Question       What's this?
Hint Question *:
Hint Answer*: Make sure you remember your answer but it's hard for others to guess!
DO NOT EDIT THIS FIELD IF YOU ARE A HUMAN
By clicking on CREATE MY ACCOUNT, you agree to our Terms & Conditions