5.1 Registration Form · Women Exclusive

Apply for Ayush Shakthi Card

Karnataka's Premier 108 Benefits Card. Free lifelong registration for women.

Back

Full Name (Kannada or English) *

Mandatory. 2–60 characters. Letters, spaces and dots. Kannada and English accepted.

Mobile Number (Phone + OTP Verification) *

+91

PIN Code (6 digits) *

Validate against India PIN code list; stores district.

Auto-Detected District

Occupation *

Mandatory. Options: Homemaker, Private sector, Government sector, Student, Business, Looking for job.

Member Photo / Selfie * Front camera with oval face guide, or gallery upload (< 500 KB).

Referral or Partner Code (Optional)

Tracks members coming through Karnataka Govt Women Employees Association, sponsor stores and other enrolment partners.

I hereby consent to store my personal details and photo for generating the Ayush Shakthi Card, and to receive member benefits and partner offers by app and SMS in accordance with the Digital Personal Data Protection Act, 2023 (DPDP). Privacy Policy.