Full Name *Email *Username *Password *Mobile Number *0 / 10WhatsApp Number *0 / 10Gender *Select GenderMaleFemaleOthersParliament Constituency *Select Your Parliament ConstituencyAraku (ST)SrikakulamVizianagaramVisakhapatnamAnakapalliKakinadaAmalapuram (SC)RajahmundryNarasapuramEluruMachilipatnamVijayawadaGunturNarasaraopetBapatla (SC)OngoleNandyalKurnoolAnantapurHindupurKadapaNelloreTirupati (SC)RajampetChittoor (SC)OtherAssembly Constituency *Select your Assembly ConstituencyPalakonda (ST)Kurupam (ST)Parvathipuram (SC)Salur (ST)Araku Valley (ST)Paderu (ST)Rampachodavaram (ST)Assembly Constituency *Select your Assembly ConstituencyIchchapuramPalasaTekkaliPathapatnamSrikakulamAmadalavalasaNarasannapetaAssembly Constituency *Select your Assembly ConstituencyEtcherlaRajam (SC)BobbiliCheepurupalliGajapathinagaramNellimarlaVizianagaramAssembly Constituency *Select your Assembly ConstituencySrungavarapukotaBhimiliVisakhapatnam EastVisakhapatnam SouthVisakhapatnam NorthVisakhapatnam WestGajuwakaAssembly Constituency *Select your Assembly ConstituencyChodavaramMadugulaAnakapallePendurthiYelamanchiliPayakaraopet (SC)NarsipatnamAssembly Constituency *Select your Assembly ConstituencyTuniPrathipaduPithapuramKakinada RuralPeddapuramKakinada CityJaggampetaAssembly Constituency *Select your Assembly ConstituencyRamachandrapuramMummidivaramAmalapuram (SC)Razole (SC)Gannavaram (SC)KothapetaMandapetaAssembly Constituency *Select your Assembly ConstituencyRajanagaramRajahmundry CityRajahmundry RuralKovvur (SC)NidadavoleGopalapuram (SC)AnaparthyAssembly Constituency *Select your Assembly ConstituencyAchantaPalacoleNarasapuramBhimavaramUndiTanukuTadepalligudemAssembly Constituency *Select your Assembly ConstituencyUnguturuDenduluruEluruPolavaram (ST)Chintalapudi (SC)NuzvidKaikalurAssembly Constituency *Select your Assembly ConstituencyGannavaramGudivadaPedanaMachilipatnamAvanigaddaPamarru (SC)PenamaluruAssembly Constituency *Select your Assembly ConstituencyTiruvuru (SC)Vijayawada WestVijayawada CentralVijayawada EastMylavaramNandigama (SC)JaggayyapetaAssembly Constituency *Select your Assembly ConstituencyTadikonda (SC)MangalagiriPonnuruTenaliPrathipadu (SC)Guntur WestGuntur EastAssembly Constituency *Select your Assembly ConstituencyPedakurapaduChilakaluripetNarasaraopetSattenapalleVinukondaGurajalaMacherlaAssembly Constituency *Select your Assembly ConstituencyVemuru (SC)RepalleBapatlaParchurAddankiChiralaSanthanuthalapadu (SC)Assembly Constituency *Select your Assembly ConstituencyDarsiOngoleKondapi (SC)MarkapuramGiddalurKanigiriAssembly Constituency *Select your Assembly ConstituencyAllagaddaSrisailamNandikotkur (SC)PanyamNandyalBanaganapalleDhoneAssembly Constituency *Select your Assembly ConstituencyKurnoolPattikondaKodumur (SC)YemmiganurMantralayamAdoniAlurAssembly Constituency *Select your Assembly ConstituencyRayadurgUravakondaGuntakalTadipatriSinganamala (SC)Anantapur UrbanKalyandurgAssembly Constituency *Select your Assembly ConstituencyRaptaduMadakasira (SC)HindupurPenukondaPuttaparthiDharmavaramKadiriAssembly Constituency *Select your Assembly ConstituencyBadvel (SC)KadapaPulivendlaKamalapuramJammalamaduguProddaturMydukurAssembly Constituency *Select your Assembly ConstituencyKandukurKavaliAtmakurKovurNellore CityNellore RuralUdayagiriAssembly Constituency *Select your Assembly ConstituencySarvepalliGudur (SC)Sullurpeta (SC)VenkatagiriTirupatiSrikalahastiSathyavedu (SC)Assembly Constituency *Select your Assembly ConstituencyRajampetKodur (SC)RayachotiThamballapallePileruMadanapallePunganurAssembly Constituency *Select your Assembly ConstituencyChandragiriNagariGangadhara Nellore (SC)ChittoorPuthalapattu (SC)PalamanerKuppamAssembly Constituency *Select your Assembly ConstituencyOtherCity / Town / MandalWard / VillageProfession *Select your ProfessionWorking ProfessionalSelf Employed / BusinessJob SearchOtherWorking State *Select your present working stateANDAMAN AND NICOBAR ISLANDSANDHRA PRADESHARUNACHAL PRADESHASSAMBIHARCHATTISGARHCHANDIGARHDAMAN AND DIUDELHIDADRA AND NAGAR HAVELIGOAGUJARATHIMACHAL PRADESHHARYANAJAMMU AND KASHMIRJHARKHANDKERALAKARNATAKALAKSHADWEEPMEGHALAYAMAHARASHTRAMANIPURMADHYA PRADESHMIZORAMNAGALANDORISSAPUNJABPONDICHERRYRAJASTHANSIKKIMTAMIL NADUTRIPURAUTTARAKHANDUTTAR PRADESHWEST BENGALTELANGANANRIOtherWorking City *Select your present working city in the stateVisakhapatnamVijayawadaGunturNelloreKurnoolKadapaRajahmundryKakinadaTirupatiEluruOngoleOtherVizianagaramAnantapurChittoorSrikakulamWorking City *Select your present working city in the stateDelhiOtherWorking City *Select your present working city in the stateAhmedabadotherWorking City *Select your present working city in the stateGurgaonOtherWorking City *Select your present working city in the stateKochiOtherWorking City *Select your present working city in the stateBangaloreOtherWorking City *Select your present working city in the stateMumbaiPuneOtherWorking City *Select your present working city in the stateNoidaOtherWorking City *Select your present working city in the stateOtherWorking City *Select your present working city in the stateHyderabadOtherWorking City *Select your present working city in the stateOtherWorking City *Select your present working city in the stateOtherReferred by (referee phone number)Submit
