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INDIAN BRAHMARSHI PROFILE
USER INFORMATION
(Remember carefully)
Enter Username
*
(size 2-30 characters): Your profile can be viewed through this username. You can give your username to those you correspond with, who can then view your profile, Username can not contain any space or special characters.
Enter Password
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(size 5-30 characters)
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Please enter username and password of your choice.Both are case-sensitive and may contain numbers, alphabets or special characters, but no in-between spaces.
#
Using above username and password, you can modify/delete your data on-line.
PERSONAL INFORMATION
Full Name
*
Mr.
Ms.
Mrs.
Shree
Father's Full Name
*
Mr.
Shree
Gender
*
Male
Female
Marital Status
*
Married
Unmarried
Date Of Birth
*
--Day--
1
2
3
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5
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19
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25
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30
31
--Month--
Jan
Fab
Mar
Apr
May
Jun
July
Aug
Sep
Oct
Nov
Dec
--Year--
1910
1911
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
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1929
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1931
1932
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1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
State Name
*
Select One
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu Kashmir
Karnataka
Kerala
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Orissa
Punjab
Rajasthan
Sikkim
Tamil Nadu
Tripura
Uttar Pradesh
West Bengal
Andaman Nicobar
Chandigarh
Dadra & Nagar
Daman & Diu
Lakshadweep
Pondicherry
State of origin
District Name
*
Your origin District name
Permanent Address
*
Phone
Like (011-6677787)
Educational Qualification
*
Write qualifications using comma as a seperator.
Name of city residing in
Right now where you are putting up.
Your current address
PROFESSIONAL INFORMATION
(Office/Business information)
Company/Office/Institute Name
*
Profession
*
--Select Profession--
Student
IT Professional
Business
Legal Consultant
Charted Accountant
Company Secretary
Gov. Official
Other
i.e Here if IT-Profession then
Profession Details
Here should be 'system Analyst'
Street Address
Zip Code
City
*
State/Province Name
*
Select One
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu Kashmir
Karnataka
Kerala
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Orissa
Punjab
Rajasthan
Sikkim
Tamil Nadu
Tripura
Uttar Pradesh
West Bengal
Andaman Nicobar
Chandigarh
Dadra & Nagar
Daman & Diu
Lakshadweep
Pondicherry
Country
*
India
Phone No.
E-mail Address
Fax No.
Website (URL).
ADDITIONAL INFORMATION
Briefly give any other information about yourself that is not covered elsewhere in this form
(Brief description about yourself, your interests, the kind of person you are, what type of persons you like etc.)
Write something about your Parents
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