Member No.

Member's Name with Father's/ Husband's Name Son DIL

Relation

Date of Birth/Age 31/3/1963 25/11/1978 21/02/2010

Birth Place Barmer New Delhi Ahmedabad

Marital Status Widow Married Married Married Married

Education Matric MS(Gynecologist) MS(Gynecologist) 1st MBA MBA

Blood Group A+ve AB+VE

Present Work HouseWife Doctor Doctor Student

Mobile No. 8141248262

Email id
preet84@Yaho parulbansal@y

1 Mrs. Kusum Sispal Sharda 2 Dr. Pratish Sispal Sharda 3 Dr. Parul Pratish Sharda 4 Aanya Pratish Sharda 5 Surendra Sispal Sharda 6 Sheetal Surendra Sharda

11/9/1980 Barmer

9879213675 o.com

9879513675 ahoo.com
surendra.sshar

Grand Daughter Son DIL

1/10/1982 Barmer 18/09/1983 Barmer

AB+VE B+ve

Professional Professional

8527721212 da@gmail.com
sheetal.prashe

9810797263 r@gmail.com

Details and selection criteria for seleting bride /groom for marrigeable children Marrigeable childrens details
Member No. 1 2 Member's Name with Father's Name Age Body Type
Complextion

Education

City

Family back ground

Special Cases

Astromatch Yes/No

Manglik Yes/No

Selection criteria for matching of marrigeable children

1 2 Member Member No.No.-2 3 Member No.-5

Other details required for identifying the needs of the community in future
A. B. C. D. E.
WHETHER ANY OF THE MEMBER FILED INCOME-TAX RETURN OR NOT WHETHER ANY OF THE MEMBER COVERED BY LIFE INSURANCE COVER OR NOT WHETHER ANY OF THE MEMBER COVERED BY MEDI-CLAIM INSURANCE OR NOT WHETHER ANY OF THE MEMBER WANT TO BE PART OF THE TEAM TO DO HONORARY WORK FOR DHAT MAHESHWARI SAMAJ. IF YES, HOW MEMBER WILL CONTRIBUTE? ANY OTHER INFORMATION TO BE SHARED AMONGST COMMUNITY MEMBERS ABOUT HIS FAMILY, ACITIVITY, HOBBIES OR WORK TO BE DONE FOR THE WELFARE OF COMMUNITY

Member No.-1

Member No.-4

1. Body type- Average/ Slim/ Athletic/ Heavy 2. Complexion- Fair/ Wheatish/ Dark 3. Family background- Rich/ upper-middle/ middle/ poor 4. Special Cases- Pysically/ Mentally Challanged b due to accident

AIFDMS'sS SS No.

UID No.

Reference person's Name and Member No.

Member No.-6

Remarks Yes / No Yes / No Yes / No

ysically/ Mentally Challanged by birth or

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