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BASIC INFORMATION
First Name
SurName
Gender
Male
Female
Date of Birth
-Month-
January
February
March
April
May
June
July
August
September
October
November
December
-Date-
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
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
;
2006
;
Maritial Status
Unmarried
Widow/Widower
Divorcee
Separated
No.of.Children
- Select -
None
1
2
3
4 and above
Children Living Status
Living with me
Not Living with me
Mother Tongue
- Select -
Aka
Arabic
Arunachali
Assamese
Awadhi
Badaga
Bengali
Bhojpuri
Bhutia
Bihari
Brij
Chatlisgarhi
Chinese
Dogri
English
French
Garhwali
Garo
Gujarati
Haryanvi
Himachil pahari
Japanese
Hindi
Kakbarak
Kanauji
Kannada
Kashmiri
Khandesi
Khasi
Konkani
Koshali
Kumoani
Kutchi
Ladacki
Lepcha
Magahi
Maithili
Malay
Malayalam
Manipuri
Marathi
Marwari
Marwari
Miji
Mizo
Monpa
Nepali
Nicobarse
Oriya
Other
Persian
Punjabi
Rajasthani
Russian
Sanskrit
Santhali
Sindhi
Sindhi
Sourashtra
Spanish
Swedish
Tagalog
Tamil
Telugu
Tirpuri
Tulu
Urdu
Contact Number
Email
Confirm Email
Password
Confirm Password
Profile Created By
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Self
Father
Mother
Sister
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Relative
Friend
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