Registration Form

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Registration Form

Fields marked with (*) are mandatory.

Account Details

Username*	(max. 20 characters)
Password*	(4-15 characters)
E-mail*
Registration by*

Personal Info

First Name*
Last Name*
Gender*	Male Female
Date of Birth*
Time of Birth*	:
Height*	feet inches
Country*
State*
Marital Status*
Have Children*	No Yes, living with me Yes, living separately

Professional Info

Education*
Occupation*
Annual Income*

Religion and Ethnicity

Religion*
Caste/Sub-Caste*
Mother Tongue*

Physical Traits and Life Style

Body Type*	Slim Average Athletic Heavy
Complexion*	Fair Wheatish Dark
Diet*	Vegetarian Non-Vegetarian
Smoke*	No Yes
Drink*	No Yes
Special Cases*

Contact Details

Telephone No.*
Mobile No.*
Current Address*
Permanent Address*

Additional Info

Preferred time to call*
Family Values*	Traditional Moderate Liberal
About Myself*
	(50-1000 characters)
Hobbies and Interests*
	(max. 300 characters)
Candidate's AOL involvement*
	(max. 1000 characters)
AOL Teacher	Yes No
Horoscope Matching Required
Own a house	Living in rented house
Property Details
Car
Other Comments

Advanced Course Teacher Details

Name of Teacher
Email
Phone/Mobile
Address
Teacher Country
Teacher State

Basic Course Teacher Details

Name of Teacher
Email
Phone/Mobile
Address
Basic course Teacher Country
Basic course Teacher State

Other Reference

Referal Name
Referal Email
Referal Phone/Mobile
Address

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