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First Name
Last Name
Street Address Line 1
Street Address Line 2
City/Town
State
Andaman and Nicobar Islands
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra and Nagar Haveli
Daman and Diu
National Capital Territory of Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Puducherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
Pincode
Email
Phone
Marital Status
Single
Married
Number of dependants
0
1
2
3
4
5
6
7
8
9
10
Gender
Male
Female
Transgender
Date of Birth
Why do you want to become an OP for JJ Water ATM?
Current Occupation
Education
SSC
HSC
Graduate
Post-Graduate
Language(s) spoken
Hindi
Marathi
English
Other
Operator
Self
Employee
Location interested in
Sr. No.
Select Location
Select Platform
»
How many WVMs would you like to operate?
1
2
3
4
5
6
7
8
Current income per month
Less than Rs. 2.5 lakh
Rs. 2.5-5 lakh
Rs. 5-10 lakh
Above Rs. 10 lakh
Do you have an Aadhar card?
Yes
No
Do you have a bank account?
Yes
No
Do you have a PAN card?
Yes
No
Can you commence operations immediately?
Yes
No
If no, within how many days can you commence operations?
-
15
30
45