Operated by Shri Saurashtra Patel Seva Samaj, Surat
Kankavati Vevishal Parichay Kendra
Bio-data Registration Form
Form no. ______________
Date ______________
1. Candidate details
Candidate:MaleFemale
Name:
Father's name:
Surname:
Date of birth:
Mobile (10 digits):
Height:ftin
Weight:
Blood group:
Email:
Education:
Special qualification:
Caste:
Current city:
Passport photo
Current address:
Any disability?YesNo
Details:
Own business or job?BusinessJob
Business / job:
Position:
Annual income:
Business address:
Brothers and sisters:
| # | Name | Brother/Sister | Age | Married / Unmarried | Education | Occupation |
|---|---|---|---|---|---|---|
| 1 | ||||||
| 2 | ||||||
| 3 | ||||||
| 4 |
2. Family & father's details
Father's full name:
Father's education:
Mother's name:
Mother's education:
Father's occupation:
Father's mobile (10 digits):
Business name and address:
Is the father's address the same as the candidate's?YesNo
Father's address:
Father's native village:
Taluka:
District:
Farming (land):
Irrigated land:
Non-irrigated land:
Village:
Property details:
Maternal uncle / family name (with surname):
Maternal uncle's mobile:
Maternal family village:
Taluka:
District:
3. Special details
NRI / Out of India
Country:
Visa/Status:
City:
4. Marital status
Marital status:Never marriedDivorcedDivorce in progressWidowed
How long did the marriage last?
How long since the divorce?
How was the divorce settled?Court caseMutual agreementOther
What was the reason for the divorce?
Number of children:
Children's details:
| # | Son/Daughter | Name | Age | Custody with whom? |
|---|---|---|---|---|
| 1 | ||||
| 2 | ||||
| 3 |
Previous spouse's name:
Their village:
Their address:
Caste:
Community:
Mobile:
5. Contact
Contact person's name:
Phone number (10 digits):
Guardian's name:
Phone number (10 digits):
Who filled in this form?The candidateA parentA relative
6. Partner preferences
Minimum age:
Maximum age:
Minimum height:ftin
Maximum height:ftin
Minimum education:
Preferred districts:Any districtor only:
Looking for an NRI partner?YesNoNo preference
Is a divorced or widowed partner acceptable?YesNo
What kind of life partner is expected?
Rules and notes
- Fill every detail completely and truthfully (to help the community).
- Documents to attach: (a) birth certificate, (b) last education certificate, (c) Aadhaar card copy, (d) job proof (if any), (e) passport-size and full-size colour photos (one or more).
- In divorce cases, attach the required proof.
- Along with a son's bio-data, please also give the bio-data of any one daughter from the Leuva Patel community, to help make the community organisation stronger.
- Every candidate should choose a biodata carefully, according to their own qualifications.
- Checking that the biodata details are correct is the responsibility of the person using them; the organisation and community are not legally responsible for this. This organisation does not verify candidate details.
I confirm all details given are true and correct, and I give my guarantee for this (candidate / guardian).
Signature of candidate / guardian:
Date:
Office note