Jain MatrimonialCenter An initiative by: Wä{ÉÉà ©ÉÉ÷à Wä{É Y´É{É»ÉÉoÉÒ MEMBER REGISTRATION FORM PERSONAL INFORMATION Gender: M F First Name: AFFIX CANDIDATE’S Middle Name: PASSPORT SIZE Last Name (Surname): PHOTO HERE feet Height: inch Kgs. Weight: Native Place: Derawasi Religion: Sthanakwasi Terapanti Gujarati Language spoken (Mother tongue): Digamber Marwadi Kutchi Other Jains Others Caste (Samaj): Marital Status: Never married Widow / Widower Divorcee Separated Engagement broken BIRTH INFORMATION Birth: Date D D / M M / Y Y Y Y Manglik: Don’t know Yes No Time Horoscope: Place Believe Don’t believe Doesn’t matter ACADEMIC / PROFESSIONAL INFORMATION Education: Profession: CONTACT INFORMATION Resi. Address: Suburb / Local area: City: Country: Contact No.[with ISD/STD code] (R): Mobile: Pincode: (O): Mobile for ‘WhatsApp’: Email: P. T. O. Jain MatrimonialCenter An initiative by: Wä{ÉÉà ©ÉÉ÷à Wä{É Y´É{É»ÉÉoÉÒ MEMBER REGISTRATION FORM ...Continued from previous page MORE ABOUT CANDIDATE Special Talent, if any: About yourself (Your Hobbies / Likes / other activities etc.): FAMILY INFORMATION Father’s Name: Contact: Mother’s Name: Contact: No. of Brothers: No. of Sisters: Grand Parents: Mosal (Maternal name): LIFE PARTNER PREFERENCES Your Preferences for Life partner: Location preference: Are you willing to settle abroad (e.g. USA / UK / Other countries), if any marriage proposal received? Yes No INSTRUCTIONS / DISCLAIMER: • Kindly provide True and Correct Data / information. • Decision of ‘Sorath Friends’ on Publishing / Circulating these Data / information will be Final. • Candidate’s Bio-Data & 3 Passport size Photographs must be submitted along with this Member Registration Form. • In case of payment by Cheque or DD, it should be drawn in name of ‘Sorath Friends’. • Jain Matrimonial Center (JMC) Members must adhere to Rules & Regulations set by ‘Sorath Friends’ for ‘JMC’. • ‘Sorath Friends’ has right to terminate Membership in ‘JMC’ at its discretion. • ‘Sorath Friends’ shall not be responsible for any consequences or misleading information provided by the Candidates or their Parents / Guardians. I hereby Declare that the above Data / information is True and Correct to the best of my knowledge and I give consent to Publish / Circulate these Data / information for Matrimonial purpose at discretion of ‘Sorath Friends’ / ‘Jain Matrimonial Center’. Signature of Candidate FOR OFFICE USE ONLY Member Registration Date: D D / M M / Y Y Y Y Candidate’s Code: Deposit (`): Entrance Fees (`): Collection Cntr: Mode of Payment: Total (`): Dated: D D / M M / Y Y Y Y Receipt No.: Cash Cheque / DD Remarks : Jain Matrimonial Center: 11, 1st Floor, Vasant Building, Plot no. 392, Bhaudaji Road, Matunga (C.R.), Mumbai - 400019. India. Contact: +91-22-2401 2367 Email: [email protected] Website: www.jainshubhlagna.com