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Registration Form
First Name *
Last Name *
Date of Birth *
01
02
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31
01
02
03
04
05
06
07
08
09
10
11
12
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
Address
Telephone
(e.g. 111-123456)
Zip
District
State
Email Address
Gotra & Devak
Occupation *
Income
Physical Disabilities
Yes
No
If Yes specify
Father
Yes
No
Father's Name
Mother
Yes
No
Mother's Name
Parent's Occupation
Native Place
Family Property
Personality
Birth Place
Birth Time
Spectacles
Yes
No
Mangal
Yes
No
Permanent Address
Hobbies
Gender
Male
Female
Height
(Ft.inch)
*
-Select-
4'00"
4'01"
4'02"
4'03"
4'04"
4'05"
4'06"
4'07"
4'08"
4'09"
4'10"
4'11"
4'12"
5'00"
5'01"
5'02"
5'03"
5'04"
5'05"
5'06"
5'07"
5'08"
5'09"
5'10"
5'11"
5'12"
6'00"
6'01"
6'02"
6'03"
6'04"
6'05"
6'06"
6'07"
6'08"
6'09"
6'10"
6'11"
6'12"
7'00"
Weight
Caste
Education *
Diet
Veg
Non-veg
Complexion
Contact Lenses
Yes
No
Blood Group
Unspecified
A +ve
A -ve
B +ve
B -ve
AB +ve
AB -ve
O +ve
O -ve
Marital Status
Unmarried
Divorcee
Widow
Widower
No. Of Brothers
Brother Details
No. Of Sisters
Sister Dtls
Mama's Name
Names of Relatives
EXPECTATIONS
Caste
Max Height Diff(Ft.inch)
Education
Handicapped Accepted
Yes
No
Horoscope Needed
Yes
No
Max. Age Difference
Marital Status
Unmarried
Divorcee
Widow
Widower
Income
Mangal Accepted
Yes
No
Preferred Cities/District
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