Devotee Registration Form

Provide authentic details to complete your Shirdi Palkhi Yatra entry

1
Personal
2
Address & Contact
3
Medical & Sizes
4
Uploads & Submit

Step 1: Personal Details

Full name is required.
Father's or husband's name is required.
Gender is required.
Valid date of birth is required.

Step 2: Contact & Address Information

10-digit mobile number is required.
WhatsApp must be a 10-digit number.
Provide a valid email address.
Village / City is required.
Taluka is required.
District is required.
State is required.
6-digit PIN code is required.

Step 3: Medical Info & T-Shirt Size

A valid 12-digit Aadhaar number is required.
Blood Group is required.
T-Shirt Size is required.
Emergency contact name is required.
10-digit emergency contact number is required.

Step 4: Uploads & Declarations

Max size: 2MB. Format: JPG, JPEG, PNG only.
Please upload a valid photo file.
Max size: 3MB. Format: JPG, PNG, PDF only.
Please upload a valid Aadhaar copy.
Declaration Statement
You must agree to the declaration statement before submitting.