My Name is Heli M Shah
 
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Registration form
* Compulsory   
Full Name :  *
Residential Adddress :  *
Phone Nos. : Residence: 
Occupation: 
Gender : Male Female *
Marital Status : Unmarried Widowed/Widower Divorcee
Email Address if any  *
Create Password  *
Confirm Password  *
Date of Birth :  *
Age :  *
Birth Time:
Birth Place:  
Educational Qualification :  *
Educational Specialization :
Physic :
Height:   *
Weight:   
Location :
Country:   
City: 
Caste & Religion Religion:  
Caste :  
Complexion Fair Whitish Dark
Spec.'s nos. if any R.E. 
L.E. 
Wearing Contact Lenses : Yes No
Occupation :  *
Other Occupation:
Income per annum :
Residence : Own Parent's Rental Others
Type of Residence : Bunglow Flat Row House
Tenament Others
Vehicles : Two Wheelers  
Four Wheelers  
Do you believe in horoscope? : Yes No
Is there Mangal or Shani in your horoscope ? : Yes No
Are you prepared to go abroad : Yes No
Are you prepared to select Life Partner from other City ? : Yes No
Specify status in case you are from abroad :
Physical disability if any :
Detail of major Illness/Operation :
Blood Group :  
Thalasemia : Major Minor Negative
Addiction if any :
Hobbies/Achievement etc. :
In case of Widower/Widow/Divorcee
Widower/Widow/Divorcee Since Year
Reason :
Detail of Issue if any : Boys   Age  
Girls   Age 
Details of Family
Father :
Occupation with address :
Income Per annum :
Mother :
Occupation with address :
Income Per annum :
Other members in the family :
No. Name Age Married/Single Relation Education Remark

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+91-79-26460178,
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info@parinay.com,
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Trade Mark Registration Number:145458
Dt : 23/10/2002