Registration Form
Pasandgi Melo

Ahmedabad, Gujarat
17th September 2018

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Note: Fields marked with Asterisks (*) are mandatory for successful registration.
Note: REGISTRATION IS OPEN ONLY FOR FEMALE

Personal Details (All information will be kept confidential)
*First Name
Father/Husband Name
*Last Name (Surname)
*Gender
*Birth
*Marital Status
No of Childrens
*Complexion
Height
Photo (Max Size 3 MB)


Contact Details
*eMail Address
*Phone Number
(example: +919800000000)
WhatsApp Number
(example: +919800000000)
*Current Address
*Permanent Address
*Location



Education and Work Details
*Education
Education Extra Details (If any)
*Work
Work Description / Title / Post
Work Address
Annual Income


Life Style
Diet Preference
Do you smoke?
Do you drink alcohol?
Any Disability?
Type of Disability
About You / Extra Information


Family Members
Name Relation Age Education Occupation


Reference
Name Address Phone


Event Information, Terms & Conditions
• The event will take place on 17th September 2018 at Ahmedabad for Ismaili community
• Age Group: 21 to 30 years and 31 to 40 Years
• Only participants are allowed during the session
• Accommodation, travel etc should be arranged by participant


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Contact Us

Rizwan Adatia Foundation for Social & Cultural Development - India

114, 1st Floor, B - Wing,
Kanakia Western Edge II,
Western Express Highway,
Borivali East, Mumbai - 400 066
(Landmark: Near Metro Supermarket)

Tel: +91 22 285 40081
Web: www.RizwanAdatia.org
Email: info@rizwanadatia.org
Rizwan Adatia Foundation - Mozambique

Av.25 Setembro,
2041 Central Bairo,
Maputo, Mozambique - 1100


Tel: +258 844 097 568
Web: www.RizwanAdatia.org
Email: info@rizwanadatia.org