Branch Registration - NSDCT Life Mentor

Registration Process

Step 1: Fill the registration form below.
Step 2: Upload your photo and signatures.
Step 3: Wait for verification (24-48 hours).
Step 4: Receive your Appointment Letter and ID Card.
Step 5: Login to your Admin Panel to manage your branch.

State Branch Registration

Personal Details

Full Name *

Email Address *

Mobile Number *

Enter 10 digit mobile number (e.g., 9876543210)

Please enter a valid 10-digit mobile number.

Password *

Confirm Password *

Date of Birth

Gender

Address

City

Pincode

Branch Details

State Name *

State Code *

2-10 characters state code

Branch Name *

Branch Address

Branch Phone

Branch Email

Branch Website

Qualification

Experience

Specialization

Photo & Signature Upload

Candidate Photo *

Click to upload passport size photo
(JPG, PNG, GIF - Max 2MB)

State Signature

Click to upload state signature
(JPG, PNG, GIF - Max 1MB)

Chairman Signature

Click to upload chairman signature
(JPG, PNG, GIF - Max 1MB)

Your information is secure and will be verified by our team.

District Branch Registration

Passwords do not match! Please check and try again.