Applicant Full Name
Mobile Number
Aadhaar Number
Name of animal owner
Wing
District
Taluka
Range
Village(If Village not exist then enter village name)
Village Name
Address
Animal species
Select One or Multiple
Captcha
Incident Date
Incident Time
Incident Duration
Incident Place
Bank Name
Account Holder Name
Account Number
IFSC Code
Bank Passbook Copy
Aadhaar Copy
7/12 Copy
Cattle Tag Certificate
Grazing License