1

Name

Sex

MaleFemale

Current City & Country

Email

Phone

Date Of Birth

Birth Place (Exact)

Time of Birth (Hrs)

Time of Birth (Min)

2

Your Educational Qualification

Is there any break

YesNo

DO YOU HAVE IDEAS FOR GOING HIGHER STUDIES? IF SO, IN WHICH STREAM.

HIGHER STUDIES - IN YOUR LAND OR ABOARD:

3

NUMBER OF BROTHERS AND SISTERS (AT PRESENT ALIVE ONLY)

MARRIED/ UNMARRIED DETAILS OF BROTHERS AND SISTERS

NUMBER OF BROTHERS AND SISTERS (AT PRESENT ALIVE ONLY) their education / business details

YOU’RE RELATIONSHIP WITH SIBLINGS

4

MOTHER'S NAME IN FULL)

Live or Not

YesNo

HER AGE

Education

Occupation / Business

Health Problems

your relationship with her

DETAILS OF LANDED PROPERTIES BUILDING AND ASSETS

5

CHILDREN

NUMBER OF MALE AND FEMALE

your relationship with them

their health condition

THEIR EDUCATIONAL STATUS (SPECIFY STANDARDS)

THEIR JOB / BUSINESS DETAILS

MARRIED / UNMARRIED DETAILS

if any adopted / physically challenged / twins

IS THERE ANY BREAK IN THEIR EDUCATION

YesNo

ARE CHILDREN LIVING WITH YOU

YesNo

OR THEY IN ABOARD

YesNo

IS THERE ANY SEPARATION FROM CHILDREN

YesNo

6

DETAILS OF DEBTS & LOANS

IF YES, HOW MUCH

Do you have any court cases

IF YES, IN CONNECTION WITH WHAT

DETAILS OF DISEASES / HEALTH PROBLEMS / WHAT TYPE OF DISEASE / FOR HOW LONG:?

7

NAME OF WIFE / HUSBAND (IN FULL)

ALIVE OR NOT

YesNo

currently living with him

yesno

his education / qualification

HER / HIS JOB OR BUSINESS DETAILS

how many times he / she is married

AGE

ANY HEALTH PROBLEMS

RELATIONSHIP WITH LIFE-PARTNER

RELATION WITH ANY OTHER LADY / MAN APART FROM SPOUSE

FOR HOW LONG

If Married

IDEAS FOR MARRIAGE

LOVE AFFAIR

FOR HOW LONG

IDEAS OF GETTING MARRIED WITH THE SAME MAN / LADY

8

DETAILS OF SURGICAL TREATMENTS ALREADY UNDERGONE

RELATED TO WHAT TYPE OF DISEASES

DETAILS OF DANGERS AND ACCIDENT THAT YOU HAVE ALREADY MET WITH

9

Fathers Name(Full)

ALIVE OR NOT

yesno

His occupation / business

details of property inherited

HIS EDUCATION / QUALIFICATION

age / any disease

HOW MANY TIMES YOU’RE FATHER GOT MARRIED

THROUGH WHICH WIFE YOUR WERE BORN?

IS HE LIVING WITH YOU

ARE YOU A FOLLOWER OF ANY GURU

any political position for father

ARE YOU INTERESTED IN POLITICS

ARE YOU INTERESTED IN DEVOTION / MEDITATION / SOCIAL SERVICE

10

YOUR JOB / PROFESSION / BUSINESS

IF JOB HOLDER PUBLIC SECTOR / PRIVATE / SEMI GOVERNMENT/ PROPER GOVERNMENT JOB DETAILS (IN FULL)

Any income from buildings / Agriculture

WHAT POST YOU HOLD / ANY IDEA TO CHANGE THE JOB

TO THE BUSINESS PEOPLE

NUMBER OF BUSINESS VENTURES

WITH PARTNER OR WITHOUT PARTNERS

NATURE OF BUSINESS

FOREIGN CONTACTS IN BUSINESS

ARE YOU INTERESTED IN NEW BUSINESS

IF SO WHAT KIND OF BUSINESS

11

HOW MANY TIMES YOU GOT MARRIED

any extra marital affair / Secret marriage

IS THERE ANY LOVE AFFAIR NOW

DESIRE FOR ANOTHER MARRIAGE

12

YOUR VISITS TO COUNTRIES ABROAD

IDEAS TO GO TO FOREIGN COUNTRY NOW

YesNo

I hereby agree that the above provided information are accurate to the best of my knowledge

YesNo

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