Hesaathi Onboard Form (Updated)

Hesaathi Onboard Candidate registration & verification

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1. General Information

Full Name (as per ID) *

Gender *

Male Female Other

Date of Birth *

Mobile Number (Primary) *

WhatsApp Number (if different)

Email ID (optional)

Aadhaar Number *

PAN Number (optional)

Aadhaar Card * (Max 10 MB)

PAN Card (images only, Max 10 MB) — optional

Allowed: JPG, JPEG, PNG, WEBP, HEIC/HEIF, GIF, BMP.

Photograph * (Max 10 MB)

2. Address Details

Current Address *

City *

State *

District *

Pin Code *

Permanent Address (if different)

3. Banking & Payment Details

Account Holder Name

Bank Name

Branch

Account Number

IFSC Code

UPI ID (if any)

Type of Account

Bank Passbook First Page / Cheque (Max 10 MB)

4. Role & Work Preference

Preferred Role(s) *

Sales Hesaathi Logistic Hesaathi Agri Procurement Market Linkage Survey Specialist Multi-role

Available Time *

Vehicle Ownership *

Yes No

If yes: Bike / Auto / Van

Smartphone Ownership *

Yes No

WhatsApp Installed *

Yes No

Driving Licence Number

Driving Licence Attachment (Max 10 MB)

5. Skills & Background

Highest Qualification *

Previous Work Experience (tick all that apply) *

Agri input sales FMCG sales SHG/FPO work Survey/Data Collection Logistic operations Other

Languages Spoken *

Select language(s) ▾

You can select multiple languages.

Local Market Knowledge *

Select market segment(s) ▾

You can select multiple segments.

Digital Skills

Select digital skill(s) ▾

Optional – select all that apply.

6. Devices & App Readiness

Smartphone Make & Model *

Android Version

Active Data Plan

Comfort with Mobile Apps (rate 1 to 5)

WhatsApp: Camera: Forms:

7. Reference & Verification

Reference Mobile No *

Referred by (Hesa employee/existing Hesaathi) *

Location *

Documents Submitted

Aadhaar PAN Bank Passbook Copy

8. Declaration I confirm that the information provided above is true to the best of my knowledge.

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