🛡️ Citizen Safety Registration

Create Your Emergency Account

Provide your details and assign two trusted emergency contacts. Proposed one-time registration fee: ₹150.

1

Personal Details

Full Name *

Email Address *

Primary Mobile Number *

+91

Alternate Mobile Number (Optional)

+91

2

Residential Location

Strict Privacy Notice: Your residential street address remains strictly confidential and is never displayed on your public emergency QR code.

Residential Address *

City / Town *

Postal PIN Code (Optional)

3

Two Trusted Emergency Contacts

Designate two distinct trusted family members or close friends who will be contacted during an emergency.

Emergency Contact #1 (Primary)

Primary Contact

Contact Name *

Relationship *

Mobile Number *

+91

Emergency Contact #2 (Secondary)

Secondary Contact

Contact Name *

Relationship *

Mobile Number *

+91

4

Account Password & Referral Code

Create Password *

Confirm Password *

Referral Code (Optional)

Proposed One-Time Administrative Fee:

₹150 one-time