Announcement: Apart from registering at TengbangKhurai.in, As per new government directive, to facilitate and plan your journey, all citizens of Khurai AC are requested to register themselves (if not done already) in the concerned website list as per this order: View Order

An initiative by
Shri Leishangthem Susindro Meitei (Yaima)
Member of Legislative Assembly
(MLA) of Khurai, Manipur
Bharatiya Janata Party (BJP)

Tengbang Khurai Assembly Constituency - COVID-19 Relief

Form to be submitted by the stranded people/students outside of Manipur in respect of Khurai AC

Khurai AC dagi mapan lamda leiba satra, satri, thabak touduna leibasing gi details loujari. Athubada State Government amadi Central Government tannaraga louthoknaba hotnari. Quarantine tounabagi centre amasu Khurai da hangduna thamjagadouri.

Mayam na website asibu share toubiyu amasung lakadaba meoising na website asida apply toubiba yagani.

Full Name*
Please type your full name.

E-mail*
Invalid email address or you have already registered! Kindly see your application Status

Password*
Kindly set a password to be able to view your application status.

Set a secured password so you can view your application status.

Your Mobile No*
Please mention your Mobile number

Parent's Name*
Please mention your parent's name

Parent's Photo*
Upload parent's photo

Photos should be 500kb or less. Else it would be slow to upload and your form submission might fail.

Parent's Contact No*
Please mention your Parent's Contact No

Permanent Address*
Please mention your Permanent Address

Permanent Address PIN Code*
Please enter your permanent address PIN Code

Polling Station No*
Please mention your Polling Station.

Present Address*
Please mention your Present Address

Present State*
Please mention the state you are currently residing

Present City*
Please mention your Current City

PIN Code*
Please mention PIN Code

Purpose of staying there*
Kindly mention the purpose of your current stay

Proof of Stay *
Upload any official ID Card showing your current address.

Upload an official ID Card or document showing your current address. Photo should be 500kb or less. Else it would be slow to upload and your form submission might fail.

Your Photo (Selfie)*
Kindly upload your current photo

Photo should be 500kb or less. Else it would be slow to upload and your form submission might fail.


Our Hon'ble MLA Susindro would be transferring Rs 1,000 to the verified and stranded passengers. Kindly mention your bank details below:

Bank Name
Please mention your Bank Name

Bank IFSC Code
Please mention your bank IFSC Code

Bank Branch
Kindly mention your Bank Branch Name

Remark
Invalid Input