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Jivan Milap Registration
Jivan Milap
Boys Registration Form
[A] Personal Details of Boy:
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User-ID
Surname
Correspondance Address1
Correspondnce Address2
Area Name
State
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chhattisgarh
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Goa
Jharkhand
Karnataka
Kerala
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttarakhand
Uttar Pradesh
West Bengal
Andaman and Nicobar Islands
Chandigarh
Dadra and Nagar Haveli
Daman and Diu
Delhi
Lakshadweep
Puducherry
Mobile No
eMail ID
Birth Date
Birth Time
Hrs
01
02
03
04
05
06
07
08
09
10
11
12
Min
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
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27
28
29
30
31
32
33
34
35
36
37
38
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40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
-
AM
PM
Height
Feet
01 Feet
02 Feet
03 Feet
04 Feet
05 Feet
06 Feet
07 Feet
08 Feet
09 Feet
10 Feet
11 Feet
12 Feet
Inch
01 Inch
02 Inch
03 Inch
04 Inch
05 Inch
06 Inch
07 Inch
08 Inch
09 Inch
10 Inch
11 Inch
12 Inch
Complexion/Marital
Select
Fair
Wheatish
Medium
Dark
Marital Status
Unmarried
Divorsed
Widow
Physical Status
Select
Normal
Handicap
Remarks
Manglik/Shani
Select
No
Yes
Select
No
Yes
Manglik's Remarks
Shani's Remarks
Educational Qualification
Occupation/Annual Income
Select
Business
Professional
Govt. Service
Pvt. Service
Student
Not Working
Others
Annual Income
Not working
<1 Lakh
1-3 Lakh
3-5 Lakh
5-10 Lakh
10-15 Lakh
15-20 Lakh
20-25 Lakh
> 25 Lakh
Name of Business
Address of Business
Select Profession
Select
CA/CS
Doctor
Lawyer
Others
Designation
Name of Company
Address of Company
Details
Other Details
Diet/Hobbies
Diet
Vegetarian
Non-vegetarian
Eggetarian
[B] Parental Details of Boy:
Father's Name/Occupation
Father's Occupation
Business
Professional
Govt. Service
Pvt. Service
Retired
Not Working
Not Alive
Name of Business
Address of Business
Select Profession
Select
CA/CS
Doctor
Lawyer
Others
Other Profession
Designation
Name of Company
Address of Company
Last Designation
Name of Company
Address of Company
Mother's Name/Occupation
Mother's Occupation
Homemaker
Business
Professional
Govt. Service
Pvt. Service
Retired
Not Working
Not Alive
Name of Business
Address of Business
Select Profession
Select
CA/CS
Doctor
Lawyer
Others
Other Profession
Designation
Name of Company
Address of Company
Last Designation
Name of Company
Address of Company
Origin in Sindh
--select--
Ahuja
Amil
Arora
Bhanushali
Bhaiband
Bhatia
Chak
Chhapru
Dadu
Dodeja
Gadiyaan
Gharee
Hyderabadi
Kandiyaro
Karachi
Khairpur
Larai
Larkana
Lohana
Mirpur
Mehrapur
Pirgoth
Rohiri
Riyasat
Sahiti
Sakkhar
Sehwani
Shadadpuri
Sharma
Shikarpuri
Sevan
Tando Adam
Thatai
Not Know
Others
How Many
Marrid
Unmarrid
Divorsed
Remark
Elder Brothers
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
Younger Brother
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
Elder Sister
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
Younger Sister
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
Additional Details of Boy (if any)
Expectation / Specific Requirements of Boy (if any)
Preferred Communication
Webview
Whatsapp
eMail
Courier
Payment Mode
CASH
CHEQUE
ONLINE
If any donation was paid,
Payment QRCODE
Upload screenshot of payment made
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