Registration Form
Pasandgi Melo

Porbandar, Gujarat
June 2019

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Note: Fields marked with Asterisks (*) are mandatory for successful registration.
Note: Last date of Registration is 20th June 2019

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 29th & 30th June 2019 at Birla Hall, Porbandar, Gujarat for Ismaili Muslim Community
• Category: Only for Divorcee, Widow/Widower and Over Aged Candidates
• Only participants are allowed during the session
• Accommodation will be provided for Female Candidates for one day.
• Accommodation, travel etc should be arranged by participant
• Last date of Registration is 20th June 2019


Security
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Remarks : This is a special arrangement for Divorcee, Widow/Widower and over aged Ismaili candidates so that only those candidates may be registered in this Pasandgi Melo.

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(Office): +91 22 285 40081

Whats app Contact for Pasandgi Melo:
+91 96620 03562 - Imtiazbhai Solanki
+91 96384 19131 - Kajal Vaja


Web: www.RizwanAdatia.org