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Basic Information :
First Name
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Last Name
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Nukh
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Amal
Bhadra
Bhakkad
Chandra
Chunada / Chunda
Dama
Dhabha
Dhoker / Dhuker
Dhoyda
Fuliya
Gajra / Gajara
Gori
Hanjada
Harvara
Hemani
Hurbada
Joisar / Joishar / Joisher
Kankhara
Katariya / Kataria / Katarmal
Khaniya
Khichada / Khichda
Kodvara
Mahajaniya
Mange
Mav
Mengar / Menghar
Mithia / Mithiya
Nakhuva
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Vador
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Phone Number
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Native Place (Village)
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Aida
Ashapar
Balachod Moti
Balachod nani
Balapar
Bambhadai
Bandhiya
Bara
Bayath
Ber Nani
Berachia/ Berachiye
Bhachunda
Bhadai Moti
Bhadra
BHARAPAR (BHADRO)
BHARAPAR (DHUFI)
Bhavanipar
Bhuj
Bibar
Bitta
Bityari
Butta
Chhadura
Chhasra
Chiyasar
Dadamapar
Dhanavada
Dhufi
Dhufi Moti
Dhufi Nani
Dhunai
Don
Gadhwada / Gadhvada
Godhra /Godhara
Hajapar
Hamirpar
Hamla
Jakhau
Jamnagar
Jangadiya
Jura / Zura
Karainya / Keraiya
Khanay
Kotada (Madh)
Kotada (Roha)
Kotadi Mahadevpuri
Lakhaniya
Lathedi - Abdasa
Loriya
Mau (Moti)
Mau moti
Modkuba
Mokhra /Mokhara
Mothara
Mothara (Motabhar)
Mothara (Nanabhar)
Naliya
Nangiya
Nangiya / Nagiya
Nani vamoti
Naredi
Nirona
Nundhatad
Pat
Prajau
Pyaka
Rajana / Ranjana
Rampar (Abda)
Ratadiya (Mota)
Rava
Sandhan
Shirva
Suddhro (Moti)
Suddhro (Nani)
Sukhpar (Bara)
Sukhpar (Sayandh)
Suthari
TERA
Ustiya
Vadsar
Valsara
Vamoti (Moti)
Vamoti (Nani)
Vanori
Vinzan
Marital Status
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Select marital status
Single
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Separated
Widowed
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Date of Birth
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Age
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Minimum age should be 18 yrs.
Family Information :
Father Name
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Mother Name
*
Father Contact Number
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No of Siblings
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Grandfather Name(Dadaji)
*
Grandmother Name(Dadiji)
*
Grandfather Name (Nanaji)
*
Grandfather (Nanaji) Village Name
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Select village name
Aida
Ashapar
Balachod Moti
Balachod nani
Balapar
Bambhadai
Bandhiya
Bara
Bayath
Ber Nani
Berachia/ Berachiye
Bhachunda
Bhadai Moti
Bhadra
BHARAPAR (BHADRO)
BHARAPAR (DHUFI)
Bhavanipar
Bhuj
Bibar
Bitta
Bityari
Butta
Chhadura
Chhasra
Chiyasar
Dadamapar
Dhanavada
Dhufi
Dhufi Moti
Dhufi Nani
Dhunai
Don
Gadhwada / Gadhvada
Godhra /Godhara
Hajapar
Hamirpar
Hamla
Jakhau
Jamnagar
Jangadiya
Jura / Zura
Karainya / Keraiya
Khanay
Kotada (Madh)
Kotada (Roha)
Kotadi Mahadevpuri
Lakhaniya
Lathedi - Abdasa
Loriya
Mau (Moti)
Mau moti
Modkuba
Mokhra /Mokhara
Mothara
Mothara (Motabhar)
Mothara (Nanabhar)
Naliya
Nangiya
Nangiya / Nagiya
Nani vamoti
Naredi
Nirona
Nundhatad
Pat
Prajau
Pyaka
Rajana / Ranjana
Rampar (Abda)
Ratadiya (Mota)
Rava
Sandhan
Shirva
Suddhro (Moti)
Suddhro (Nani)
Sukhpar (Bara)
Sukhpar (Sayandh)
Suthari
TERA
Ustiya
Vadsar
Valsara
Vamoti (Moti)
Vamoti (Nani)
Vanori
Vinzan
Current Address :
Full Address
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Country
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Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua And Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas The
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
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Bouvet Island
Brazil
British Indian Ocean Territory
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Republic Of The Congo
Democratic Republic Of The Congo
Cook Islands
Costa Rica
Cote D'Ivoire (Ivory Coast)
Croatia (Hrvatska)
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
External Territories of Australia
Falkland Islands
Faroe Islands
Fiji Islands
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia The
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey and Alderney
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
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Hong Kong S.A.R.
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
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Jamaica
Japan
Jersey
Jordan
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Kiribati
Korea North
Korea South
Kuwait
Kyrgyzstan
Laos
Latvia
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Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau S.A.R.
Macedonia
Madagascar
Malawi
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Maldives
Mali
Malta
Man (Isle of)
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands Antilles
Netherlands The
New Caledonia
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Nigeria
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Norfolk Island
Northern Mariana Islands
Norway
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Palestinian Territory Occupied
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Poland
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Reunion
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Russia
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Saint Kitts And Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent And The Grenadines
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Smaller Territories of the UK
Solomon Islands
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South Sudan
Spain
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Svalbard And Jan Mayen Islands
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Sweden
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Syria
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Tajikistan
Tanzania
Thailand
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Tokelau
Tonga
Trinidad And Tobago
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Turkey
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Turks And Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
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Uruguay
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Vatican City State (Holy See)
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Virgin Islands (British)
Virgin Islands (US)
Wallis And Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zambia
Zimbabwe
State
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City
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Physical & Health :
Blood Group
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Select One
O+
O-
A+
A-
B+
B-
AB+
AB-
Thalassemia Status
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Negative
Positive Minor
Positive Major
Not Checked
G6PD Status
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Select One
Not Tested
Negative
Positive
Height (Feet)
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4' 0" (1.22 mts)
4' 1" (1.24 mts)
4' 2" (1.28 mts)
4' 3" (1.31 mts)
4' 4" (1.34 mts)
4' 5" (1.35 mts)
4' 6" (1.37 mts)
4' 7" (1.40 mts)
4' 8" (1.42 mts)
4' 9" (1.45 mts)
4' 10" (1.47 mts)
4' 11" (1.50 mts)
5' 0" (1.52 mts)
5' 1" (1.55 mts)
5' 2" (1.58 mts)
5' 3" (1.60 mts)
5' 4" (1.63 mts)
5' 5" (1.65 mts)
5' 6" (1.68 mts)
5' 7" (1.70 mts)
5' 8" (1.73 mts)
5' 9" (1.75 mts)
5' 10" (1.78 mts)
5' 11" (1.80 mts)
6' 0" (1.83 mts)
6' 1" (1.85 mts)
6' 2" (1.88 mts)
6' 3" (1.91 mts)
6' 4" (1.93 mts)
6' 5" (1.96 mts)
6' 6" (1.98 mts)
6' 7" (2.01 mts)
6' 8" (2.03 mts)
6' 9" (2.06 mts)
6' 10" (2.08 mts)
6' 11" (2.11 mts)
7' (2.13 mts) plus
Weight(KG)
*
Education & Career :
Highest Education
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Select One
B.M.M
BFT
BLIS
B.S.W
B.Phil
DMLT
MLT
Other Arts/Science
B.Sc (IT)
BCA
MCA/PGDCA
Other Computers
M.Phil
Ph. D
Ph.D
Other Doctorate
B.Arch
B.Des
B.E/B.Tech
M.Arch
M.Des
M.E/M.Tech
M.S. (Engineering)
Other Engineering/Design
B.Com
CA
CFA
CS
ICWA
M.Com
PGDA
Other Finance/Commerce
BBI
CMA
B.C.A.F
Graduate
11 or 12
BL/LLB
ML/LLM
B.A
B.Ed
B.Sc
BFA
BJMC
M.A
M.Ed
M.Sc
MFA
MJMC
MSW
Other Law
BBA
BHA / BHM (Hospital Administration)
MBA/PGDM
BFM (Financial Management)
Other Management
MEM/ MSEM
BBM
Hotel Management
BMS
B.Voc
MIM
B.Pharma
M.Pharma
BAMS
BDS
BHMS
BPT
BVSc.
DM
M.D.
M.S.
M.S. (Engineering)
MBBS
MCH
MDS
MPT
MVSc.
PgDEMS
Pharm.D
BSMS
BUMS
Other Medicine
MSc Nutrition and Dietetics
High School
Trade School
Diploma
Other Non-Graduate
1 To 8
Post graduate
9 Or 10
Other
Fashion Designer
Master
Other Education
*
Occupation
*
Select One
Admin Professional
Clerk
Operator/Technician
Secretary/Front Office
Manager
Supervisor
Officer
Executive
Human Resources Professional
Administration
Actor/Model
Advertising ProfessionalB.E/B.Tech
Film/ Entertainment Professional
Journalist
Media Professional
PR Professional
Event Management Professional
Fashion Desinger
Advertising, Media & Entertainment
Animation / Designer
Fashion blogger
Agriculture Professional
Farming
Horticulturist
Agricultural
Airline Professional
Flight Attendant
Pilot
Airline & Aviation
Architect
ARCHITECTURE & DESIGN
Air Force
Army
Defence Services
Navy
Paramilitary
Accounting Professional
Auditor
Banking Professional
Chartered accountant
Finance Professional
Company Secretary
Financial Accountant
Financial Analyst / Planning
Investment Professional
Banking & Finance
Relationship Manager
Accountant
Chief Accountant
Accounts Executive
BPO/ITes Professional
Customer Service
BPO & Customer Service
Civil Services (IAS/ IPS/ IRS/ IES/ IFS)
Analyst
Consultant
Corporate Communication
Corporate Planning
HR Professional
Marketing Professional
Operations Management
Product Manager
Program Manager
Project Manager - Non IT
Sales Professional
Subject Matter Expert
Senior Manager / Manager
Business Development Professional
Content Writer
Corporate Management Professionals
Digital Marketing
Dentist
Doctor
Surgeon
Veterinary Doctor
Education Professional
Educational Institution Owner
Librarian
Professor/Lecturer
Research Assistant
Teaching / Academician
Training Professional
Education & Training
Electronics / Telecom Engineer
Hardware/Telecom Engineer
Non – IT Engineer
Quality Assurance Engineer
Civil Engineer
Mechanical / Production Engineer
Designer
Product Manager - Non IT
Project Manager - Non IT
Engineering
Hotels/Hospitality Professional
Restaurant / Catering Professional
Chef / Cook
Law Enforcement Officer
Police
Law Enforcement
Lawyer & Legal Professional
Legal Assistant
Legal
Advocate
Mariner
Merchant Naval Officer
Looking for job
Not working
Retired
Student
Medical/ Healthcare Professional
Nurse
Paramedic.
Pharmacist
Physiotherapist
Psychologist
Medical Transcriptionist
Therapist
Dietician / Nutritionist
Lab Technician
Medical Representative
Other Medical & Healthcare
Clinic
Lab
Research Professional
Science Professional
Scientist
Science & Research
Animator
Cyber/Network Security
Project Lead - IT
Project Manager - IT
Quality Assurance Engineer - IT
Software Professional
UI/UX designer
Web/Graphic Designer
Network Engineer
Data Scientist
Data Analyst
Software Consultant
Hardware Professional
Program Manager
Software & IT
CxO/ Chairman/ President/ Director
VP/ AVP/ GM/ DGM
Top Management
Beautician
Hair Stylist
Jewellery Designer
Designer (Others)
Makeup Artist
BEAUTY & FASHION
Government Job
Agent / Broker
Artist
Trader
Business Owner/ Entrepreneur
Business/ Self Employed
Photo / Videographer
Fitness Professional
Interior Designer
Politician
Security Professional
Singer
Social Services/ NGO/ Volunteer
Sportsperson
Professional
Writer
Others
Technician
Transportation / Logistics Professional
Contractor
Travel Professional
Freelancer
Mechanic
Musician
Shop
Associate
Builder
Chemist
CNC Operator
Distributor
Service
Project Coordinator
Other Occupation
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