Member Registration Form First Name: Middle Name: Last Name: Email: Mobile*: Primary Mobile Number is required for communication. Alternate Phone / Mobile*: Secondary Phone contact or Mobile Number is also necessary. Residence Address*: Residence Address is required. Sex: Male Female Birth Place: Date of Birth: DD/MM/YYYY Time of Birth: 01 02 03 04 05 06 07 08 09 10 11 12 : 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 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 AM PM Caste: Mangal: Will tell later No Yes Saumya Dont know Marital Status: Never Married Divorcee Widow or Widower Height (feet' inches"): Will tell later 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" 7' 01" 7' 02" 7' 03" 7' 04" 7' 05" 7' 06" 7' 07" 7' 08" 7' 09" 7' 10" 7' 11" 7' 12" Weight (Kgs): Will tell later Dont Know 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 Education: Occupation / Job: City of Occupation / Job : Income: Mention Per Year Income / Per Annum (PA) Complextion: Please Select Very Fair Fair Mild Fair Wheatish - Gavhal Dark Will tell later Body Appearance : Please Select Slim Slim to Medium Medium /Average Medium to Heavy Heavy Athletic or Sport Fit Will tell later Food Preference: Please Select Will tell later Vegetarian Eggetarian Occasionally Non-Vegetarian Non-Vegetarian Blood Group: Please Select Will tell later Dont know A+ A- B+ B- AB+ AB- O+ O- Special Cases or Physically Challenged or HIV+ : Please Select No - None applicable Yes - Physically Challenged but NOT HIV+ Yes - HIV+ but not physically challenged Yes - Physically Challenged and HIV+ Yes - Other, will tell later Wear Specs or Lens: Please Select None - No Specs, No Lens Wear Lens Wear Specs Wear Specs or Lens Will tell later Brief introduction about you and Expectations: Maximum 500 characters allowed. Rashi: Please Select Mesh Vrushabh Mithun Karka Sinha Kanya Tula Vrushchik Dhanu Makar Kumbh Meen Will tell later Nakshatra: Please Select Will tell later Ashwini Bharani Krittika Rohini Mrigcira Ardra Punarvasu Pushya Ashlesha Magha Poorva Phalguni Uttara Phalguni Hasta Chitra Swati Vishaka Anuradha Jyeshta Moola Poorvashadha Uttarashadha Sharavan Dhanishta Satbhij Poorva Bhadrpada Uttara Bhadrapada Revati Charan: Please Select Will tell later 1 2 3 4 Naadi: Please Select Will tell later Adhya Madhya Antya Gan: Please Select Will tell later Dev Gan Manushya Gan Rakshas Gan Gotra / Devak: Parents: Please Select Yes - Father and Mother Yes - Mother Yes - Father None Parents Residence City or Town: Parents Occupation: Please Select Serving or Served in Armed Forces Farmers Doctors Job in Govt or Semi-Govt or PSU Job in Private sector Retired from Govt or Semi-Govt or PSU Job Retired from Private Job Business Professionals Other Housewife - Mother Brothers: Please Select No Yes - 1 Yes - 2 Yes - 3 Yes - 4 Yes - 5 Yes - 6 Yes - 7 Yes - 8 Yes - 9 Yes - 10 Sisters: Please Select No Yes - 1 Yes - 2 Yes - 3 Yes - 4 Yes - 5 Yes - 6 Yes - 7 Yes - 8 Yes - 9 Yes - 10 Married Brothers: Please Select Not Applicable None Married Yes - 1 Yes - 2 Yes - 3 Yes - 4 Yes - 5 Yes - 6 Yes - 7 Yes - 8 Yes - 9 Yes - 10 Married Sisters: Please Select Not Applicable None Married Yes - 1 Yes - 2 Yes - 3 Yes - 4 Yes - 5 Yes - 6 Yes - 7 Yes - 8 Yes - 9 Yes - 10 Relatives Surname / Last Names: Native place/ Origin district: Family Status / Wealth: Please Select - Multiple Native Home Agriculture land Residence Flat Bungalow Car Farm House Select all that apply - On Mobile devices select multiple check boxes and click Ok. On Computer hold the "Ctrl" key and click on multiple selection. Mother Maiden Last Name or Mama's Last Name: Inter-caste Marriage Preference: Please Select Yes-Limited - Partially open to limited community within similar or equivalent or upper castes Yes-Broadly - Open to MOST communities but not all Yes-All - Open to all Maybe - Not decided but can think No - Strictly looking only for similar caste Please specify as this is required field. Family Type: Please Select Most Traditional - Do not accept deviations of modern thinking Traditional - Follows traditional approach with minor modern deviations Mod Traditional - Believes in modern thinking while following traditional values Ultra Modern - Do not believe in traditional practices Living with Parents: Please Select Yes No Mangal Expectation: Please Select No Yes - any Mangal type Yes - Saumya only Not Interested - Not a concern even if it is absent or present or Saumya or any type Age Difference Expectation: Please Select upto 1 year upto 2 years upto 3 years upto 4 years upto 5 years upto 6 years upto 7 years upto 8 years upto 9 years upto 10 years upto 11 years upto 12 years upto 13 years upto 14 years upto 15 years Same age - Same Birth Year necessary Marital Status Expectation: Please Select - Multiple Never Married Divorcee Widow or Widower Expected Occupation: Please Select - Multiple Serving in Armed Forces Medical profession - Doctor Job in Govt or Semi-Govt or PSU Job in Private sector Business Professionals Farming Occupation does not matter Select all that apply - On Mobile devices select multiple check boxes and click Ok. On Computer hold the "Ctrl" key and click on multiple selection. Expected Income - Per Annum: Please Select Not a concern - Do not matter Same as mine or above Not much of concern for now - Less than a lakh and above or no income for now 1 Lakh and above 2 Lakhs and above 3 Lakhs and above 4 Lakhs and above 5 Lakhs and above 6 Lakhs and above 7 Lakhs and above 8 Lakhs and above 9 Lakhs and above 10 Lakhs and above 11 Lakhs and above 12 Lakhs and above 13 Lakhs and above 14 Lakhs and above 15 Lakhs and above 16 Lakhs and above 17 Lakhs and above 18 Lakhs and above 19 Lakhs and above 20 Lakhs and above 25 Lakhs and above 30 Lakhs and above 40 Lakhs and above 50 Lakhs and above 75 Lakhs and above 1 Crore and above