Name (of Candidate) :

Gender :

Date Of Birth :

Marital Status :

Birth Time :

Birth Place :

Height/Weight :

Appearence/ Complexion :

Occupation :

Education :

Technical Education :

Medical Queries :

Caste/Biradri :

Father's Name :

Grand Father's Name :

Mother's Name :

Brother's Name :

Residence Address :

Business Address :

Phone No. :

Fax No. :

E Mail :

Your Requirement

Send Photograph  of candidate by E-mail, mention the Name (of Candidate) in Subject of E-mail

• I/we declare that information disclosed above is true and correct to the best of my knowledge and belief and nothing has been concealed therein.

• Outstation visits/advertisement cost as actual will be charged extra in advance.

• We agree to pay Rs………. as service charges is payable at the confirmation of both the parties.

• The company shall not be liable in case of any wrong match make due to any misrepresentation and will not be held responsible for any legal implications whatsoever.

• The company reserves the right to accept or reject any application.