Display name

Contact phone

{% for field in personal_profile_fields | default(value=[]) %} {% if field.field_type == 'multiselect' %} {{ ui::multiselect(name=field.name, label=field.label, options=field.options, values=field.value) }} {% else %}

{{ field.label }} {% if field.field_type == 'textarea' %} {% else %}{% endif %} {% if field.legacy_values %}

Review previous {{ field.label }} answers

{{ value }}

Choose the correct value for your personal profile. Your previous application records are retained.

{% endif %}

{% endif %} {% endfor %}

UPI ID (VPA)

UPI payee name

{% if show_profile_defaults | default(value=false) or not enrollment_mode | default(value=false) %}

{% if enrollment_mode | default(value=false) %}Default rate chart (optional){% else %}Rate chart{% endif %}

{% endif %}

WhatsApp pitch (use {{'{{link}}'}})

{% if show_profile_defaults | default(value=false) or not enrollment_mode | default(value=false) %}

{% if enrollment_mode | default(value=false) %}Default flyer URL (optional){% else %}Flyer URL{% endif %}

{% endif %}

Service location

Service radius (m)