Apply For Essential Service Pass(Madhubani,Bihar)
Information on providing Essential Services
Block Name
Select Block
Andhrathadi
BABUBARHI
Basopatti
BENIPATTI
BISFI
GHOGHARDIHA
HARLAKHI
JAINAGAR
JHANJHARPUR
KALUAHI
KHAJAULI
KHUTAUNA
LADANIA
LAKHNAUR
LAUKAHI
MADHWAPUR
PANDAUL
PHULPARAS
RAHIKA
RAJNAGAR
MADHEPUR
Name:
Essential service types
Select Service
Bank / Finance / ATM
Cable TV
Company
Government / Civil Government
Dairy
LPG Gas Delivery
Medical(Hospital / Ambulance)
Medical(Pharmacy / Shop)
Petrol Pump
Press (Media/Reporter)
Ration / Groceries / Food
Telecommunication
Transport
Other
Vehicle number
Inter State Vehicle Paas
Mobile No.
E-mail:
From Date
To date
Essential Service Reasons / Purpose
Address:
Add photos and documents (Attach Photo and Documents)
(Click Here to Compress Image)
Upload Your Photo Here(.Jpg,.jpeg,.png)
Image size(Your Photo) should not be more than 200 kb.
Upload Your Documents Here(.Jpg,.jpeg,.png)
Document size should not be more than 200 kb.(If no document, Then upload ur application regarding paas.