PRIMARY DETAILS

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                    EDUCATIONAL DETAILS

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                                            PERSONAL DETAILS

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                                                                    DIVORCED

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                                                                                  WIDOWED

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                                                                                              FAMILY DETAILS

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                                                                                                          PARTNER PREFERENCE

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                                                                                                          Age Group
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                                                                                                              Language
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                                                                                                                          Community
                                                                                                                          Family Background
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                                                                                                                                                SELF DECLARATION

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                                                                                                                                                I , Son / Daughter of Mr. / Mrs. , age years, resident of in the District of , State of , do hereby declare that the information given above and in the enclosed documents is true to the best of my knowledge and belief and nothing has been concealed therein. I am well aware of the fact that if the information given by me is proved false / not true at any point of time, I will have to face punishment as per any provision of Law for the time being in force as well as the benefit availed of by me or the benefit accrued to me shall be summarily cancelled.