Registration-2 Registration Step 1 of 5 20% Name(Required) First Middle Last Gender(Required)MaleFemaleBringing Parent together?(Required)NoYesParents Count(Required)12Permanent Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Education(Required) Occupation(Required) Company Name(Required) Company Details/ Industry(Required) Salary(Annual) (Ex. 3,00,000)(Required)Candidate Image (Will be print in Book)(Required)Accepted file types: jpg, jpeg, png, Max. file size: 100 MB. Candidate Phone Number(Required)Parents Phone Number(Required)Email Address(Required) Enter Email Confirm Email Height (FEET)(Required)4567Height(INCH)(Required)01234567891011Weight (IN KG)(Required)Specs(Required) Yes No Physical Disability(Required) Yes No Please Describe Physical Disability(Required) Birth Place(Required) Birth Date(Required) DD slash MM slash YYYY Birth Time Hours : Minutes AM PM AM/PM Ekdo(Required)Kathlal Bhaner 262242Savli Dasha KhadayataSadasal JantralAlinaJanodModasa DashaModasa VishaVejalpurJambusarRajpiplaBaudhanSuratBharuchRajkanamChar GamHaldarvasGhodasarMahemdavadNadiad Dasha / Visha121171VatvaAhmedabadKheda Matar21 GamTer GamNandurbarMangrol (Saurashtra)VijapurBagkotMadrasMundiraverUmreth80150 VishaGotra(Required)VasiyanaMervanaKalyanuKagranuNandolaNarsanaGaudanaBhatsyanuSavlanuNanuNandiyanuSalisanuManglik Details(Required)NoneMangalShaniMangal & ShaniMarital Status(Required)SingleSepratedDivorcedWidowed Father Name(Required) First Last Father Occupation(Required) Father Native(Required) Mother Name(Required) First Last Mother Occupation(Required) Mother Native(Required) Brother(Required) Yes No Your Brother is Married?(Required) Yes No Sister(Required) Yes No Your Sister is Married?(Required) Yes No Special Remarks (If any) Candidate Price: Parent (Allowed 2) Price: Parent (Allowed 1) Price: Total
