1. Personal & Work Information

Enter your basic personal, contact and work details.

Applicant Full Name *

Date of Birth *

Email ID (Optional)

Mobile Number *

Alternate Contact Number *

Permanent Address *

Current Address *

Full Address of the Place Where You Want to Work *

Other Work Details (Optional)

Experience *

Do you have your own tools? *

Yes

No

Are you currently working? *

Self-employed

Job

Other

If Other, mention here (Optional)

2. Document Uploads

Upload clear copies of your documents. All documents are optional but recommended.

Note: Please upload clear photos/copies of the following documents. All fields are optional — you can submit the form without uploading documents.

Aadhaar Card – Front & Back (Optional)

Upload clear Aadhaar front & back copy.

Address Proof (Optional)

Upload clear address proof copy.

PAN Card (Optional)

Upload clear PAN card copy.

Voter ID – Front & Back (Optional)

Upload clear Voter ID front & back copy.

Police Verification (Optional)

Upload clear police verification copy.

3. Payment Details

Pay the application fee and subscription, then submit your details.

Application Fee ₹250 + First Week Subscription ₹600 = Total ₹850
भुगतान करने की प्रक्रिया:

नीचे दिए गए UPI QR Code को Scan करें।
₹850 का भुगतान करें।
Transaction ID / UTR Number दर्ज करें।
Payment Screenshot अपलोड करें।

नोट: भुगतान प्राप्त होने के बाद हमारी टीम आपके दस्तावेज़ों और विवरणों की समीक्षा करेगी तथा आगे की प्रक्रिया के लिए आपसे संपर्क करेगी।

Scan & Pay ₹850

Scan this QR code with any UPI app to pay ₹850

Alternative Payment Options (Bank Transfer)

💳 QR Code से भुगतान करने में समस्या होने पर आप नीचे दिए गए बैंक खाते में सीधे भुगतान कर सकते हैं।

Account Holder Name: Lata Har Techie Services (OPC) Private Limited

Bank Name: State Bank Of India

Branch Address: Transport Nagar Lucknow-226012

Account Number: 42505911281

IFSC Code: SBIN0008066

UPI ID: 42505911281@sbi

⚠️ भुगतान करने के बाद कृपया Transaction ID (UTR Number) सुरक्षित रखें और फॉर्म में दर्ज करें।

Transaction ID / UTR Number (Optional)

Payment Screenshot (Optional)

Description (Optional)

Registration Process

Registration Form Submission
FixNServe Application Review
Document / Profile Verification
Approval & Further Onboarding Process

I confirm that I have provided genuine information and valid documents. *

FixNServe – Associate Verification & Onboarding Form