Matrimony Section

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Username (Email) * :
Password * :
Havyaka Membership Number * :
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Membership Name * :
As printed in Havyaka Magazine Address Label
PAYMENT DETAILS (* either cheque or cash details mandatory)
Cheque/DD No.  
Date:  
Bank & Branch  
Rs.  
If paid by Cash:    
Receipt No.  
Date:  
Rs.  
Payment Notes/Description :
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Name of the Bride/Groom * :
Fathers Native Place :
RESIDENCE ADDRESS
Address Line 1 :
Address Line 2 :
Address Line 3 :
City :
Pin Code * :
State :
Country :
Contact Number (Landline) * : Std code Number
Contact Number (Work) : Std code Number
Contact Number (Mobile) * : Country Code + Number
 
MOTHER'S NATIVE ADDRESS
Native Place :
Address Line 1 :
Address Line 2 :
Address Line 3 :
City :
Pin Code :
State :
Country :

Show Contact Details To Other Members : (If you do not select this box, others cannot see your contact information)
PHOTO *

 
Photo :
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Show Photo : (If you deselect this box, others cannot see your photo)

BASIC DETAILS
Gothra :
Nakshatra :
Rasi :
Samvatsara :
Mithi :
Masa :
Height (feet/inches) * :
Gender : Male Female
Blood Group :
Date of Birth (dd/mm/yyyy) : dd     mm     yyyy
Educational Qualifications
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:
Subject Specification :
Other Qualifications :
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Employment / Profession :
Annual Salary :

DETAILS OF FAMILY MEMBERS
Father's Name :
Mother's Name :
Number of Brothers :      How many married:
Number of Sisters :       How many married:
Any Other Details :
(Max. characters: 100)
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Property Details :
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EXPECTATIONS ABOUT PARTNER
Age Range : TO
Height Range : TO
Qualifications
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:
Other Expectations :
(Max. characters: 100)
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Is this your 1st Marriage? : Yes No
Is 2nd Marriage Ok? : Yes No
Are you ready to marry within same gothra? : Yes No
Horoscope should match? : Yes No
Whether Bride / Groom should be from particular region : Yes No
Are you ready to go abroad? : Yes No
Are you physically challenged? : Yes No
Are you willing to marry a physically challenged? : Yes No
Are you ready for Aliya Santhana? : Yes No
Do you expect any thing more from Bride / Groom? :
(Max. characters: 100)
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Are you ready for registered marriage? : Yes No
Are you ready for simple marriage? : Yes No
Are you ready for mutual marriage? : Yes No
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