Personal Details Full Name (*) Aadhar No Date of Birth Gender MaleFemale Email ID (*) Contact Number Pan Number Correspondence Address Correspondence Address Line 1 Correspondence Address Line 2 State District Tehsil/Taluka/City Pincode Permanent Address Residential Address Line 1 Residential Address Line 2 State District Tehsil/Taluka/City Pincode Business Details Kind of Business Permanent/Temporary stall holderHawker (Itinerant/Mobile Food Vender)HomeBasedCanteen/Dabba WallasPetty Retailer of SnacksManufacturer / ProcessorOthersNot in Business State District Tehsil/Taluka/City Pincode Registration/Licence No.