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Full Name Please enter only alphabets and spaces (3 to 50 characters).

Father's Name Please enter only alphabets and spaces (3 to 50 characters).

Email Address Please enter a valid email address.

Phone Number Please enter a valid 10-digit phone number starting with 6-9.

PAN Card Number Please enter a valid 10-character PAN number (e.g., ABCDE1234F).

State Please enter a valid state name (letters only).

Date of Birth Date of birth is required.

Today's Date Today's date is required.