Register Create your account

Name*:

Address Line 1*:

Address Line 2:

Email*:

Gender*:

Date of Birth*:

Aadhaar No.*:

Taluka*:

Mobile No.*:

User Type:

I, holder of above Aadhaar number , hereby give my consent to Goa Online to obtain my Aadhaar number and Name for authentication with UIDAI. Goa Online has informed me that my identity information would only be used for authentication purpose.
I agree

Password*:

( Password can have special characters like @ # $ % ^ & + = )

Confirm Password*:

Enter The Letters Shown In The Textbox Below

Enter The Above Code*:

How To Register:

1. Enter your Name , Email address and Mobile number in respective text boxes provided.
2. Enter your password to be set. The password must satisfy the following criteria:
a. Must be of 8 or more characters.
b. Must contain atleast 1 number, 1 uppercase character and 1 special character.
3. Re-enter the same password for confirmation.
4. Enter the captcha code and click on Register.
5. On successfull registration, confirmation mail will be sent to your registered email address.