Application for Census 2026
Kindly fill out the form in English only.
1. Details of Household
Name of Head
ଗୃହକର୍ତ୍ତାଙ୍କର ନାମ
Gender
ଲିଙ୍ଗ
Select Gender
Male
Female
Other
Age
ବୟସ
Father's Name
ପିତାଙ୍କ ନାମ
Gotra
ଗୋତ୍ର
Vansh
ବଂଶ
2. Current Address
Village
ଗ୍ରାମ
Post
ପୋଷ୍ଟ
Tehsil
ତହସିଲ୍
Panchayat
ଗ୍ରାମ ପଞ୍ଚାୟତ
District
ଜିଲ୍ଲା
State
ରାଜ୍ଯ
Phone
ମୋବାଇଲ୍ ନମ୍ବର
WhatsApp Number
ୱାଟସଫ୍ ନମ୍ବର
3. Permanent Address
Same as current address
Village
ଗ୍ରାମ
Post
ପୋଷ୍ଟ
Tehsil
ତହସିଲ୍
Panchayat
ଗ୍ରାମ ପଞ୍ଚାୟତ
District
ଜିଲ୍ଲା
State
ରାଜ୍ଯ
4. Family Members
Name
ନାମ
Gender
ଲିଙ୍ଗ
Select Gender
Male
Female
Other
Relation
ସମ୍ପର୍କ
Select
Wife
Husband
Son
Daughter
Father
Mother
Brother
Sister
Son-in-law
Daughter-in-law
Brother-in-law
Sister-in-law
Grandson
Granddaughter
Other
Date of Birth
ଜନ୍ମ ତାରିଖ
Education
ଶିକ୍ଷାଗତ ଯୋଗ୍ୟତା
Marital Status
ବୈବାହିକ ସ୍ଥିତି
Select Status
Unmarried
Married
Occupation
ବୃତ୍ତି
+ Add Another Family Member
5. Other Details
Since when living in Koraput?
କେଉଁ ମସିହାରୁ କୋରାପୁଟ ଜିଲ୍ଲାକୁ ଆସିଛନ୍ତି ?
Email
ଇମେଲ୍
Occupation of Household
ଗୃହକର୍ତ୍ତାଙ୍କ ବୃତ୍ତି
Upload Passport Size Photo
ଗୃହକର୍ତ୍ତାଙ୍କ ଫୋଟ
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