Registration For:*	INDUSTRY Health Care Establishment(BMW, HWM, PWM, SWM, Battery, E-Waste, Construction and Demolition Waste)
Applicant Name:*
Mobile No.:*
District:*	Not Selected Alipurduar Bankura Paschim Bardhaman Purba Bardhaman Birbhum Cooch Behar Darjeeling Uttar Dinajpur Dakshin Dinajpur Hooghly Howrah Jalpaiguri Jhargram Kolkata Kalimpong Purulia Barrackpore Durgapur Haldia Siliguri Asansol Malda Paschim Medinipur Purba Medinipur Murshidabad Nadia North Twenty Four Pgs South Twenty Four Pgs Kolkata salt lake  (select district)
Police Station:*
Hint Question:*	What is your Nickname? What is your Birthplace? What was your first mobile number? What is your first school's name ? What is your Spouse's name? (select question)
Hint Answer:*