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10 Porutham
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Basic Details
Name
*
Date of Birth
*
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
DEC
Year
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
Gender
*
Male
Female
Marital Status
*
Unmarried
widow/widower
divorcee
seperated
Children
child
1
2
3
4
5
Children current living status
Living with me
Not living with me
Religion
*
Select
Hindu
Community
*
Select
Hindu-Kannada
Hindu-Malayalam
Hindu-Marathi
Hindu-Tamil
Hindu-Telugu
Country
*
country
Australia
Bahrain
Bangladesh
Belgium
Canada
Doha
Dubai
France
Germany
Hong Kong
India
Indonesia
Ireland
Italy
Japan
Kenya
Kuwait
Lebanon
Libya
Malaysia
Maldives
Mauritius
Mexico
Nepal
Netherlands
New Zealand
Norway
Oman
Pakistan
Qatar
Quilon
Russia
Saudi
Singapore
South Africa
South Korea
Spain
Sri Lanka
Sweden
Switzerland
Thailand
United Arab Emirates
United Kingdom
United States
Yemen
Zimbabwe
Other
Residential status
residential status
Citizen
Permanent Resident
Student Visa
Temporary Visa
Work permit
Employment status
Government
Private
Business
Defence
Unemployed
Searching
Phone No
*
Email
*
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