NARI

I	Must be submitted by the authorised persons only Using other institution's login ID or password for registration / data submitting, editing or deleting shall be punishable as per the "IT Act"

1	Type of Facility:	Please select your Facility * All the fields are mandatory
2	Name of Facility:	*
3	SIMS ID of your Facility:	A value is required.Invalid format.Minimum number of characters not met.Exceeded maximum number of characters. * Please refer relevant source (SIMS ID will be the user ID for login)
4	Registered Email ID:	A value is required.Invalid format.A value is required.Invalid format. *
5	Complete Name of Institution:	*
6	Compete Postal Address:	*
7	Name of the State:	* Please select your State
8	Name of District:	*
9	PIN Code:	A value is required.Invalid format.Minimum number of characters not met.Exceeded maximum number of characters.
10	Name of contact person in your Facility:	*
11	Mobile Number of the contact person in your facility:	A value is required.Invalid format. *
12	Alternative/Land line Number:
13	Your Message	A value is required.Minimum of 6 characters Maximum 10 characters Maximum 250 characters
		Password is required.Password don't match.