Name ( नाम ) *

Father's/ Husband Name ( पिता / पति का नाम ) *

Gender ( लिंग ) * Choose... Male FeMale

Gotra ( गोत्र )* Choose... Adwaniya (अडवाणिया) Ajmera (अजमेरा) Anawadiya (अनावाडिया) Arsoniya (अरसोनिया) Asavala (असावला) Asawariya (असवरिया ) Asiwal (आसीवाल) Baberwal (बडेरवाल ) Baderia (बड़ेरिया ) Badiwal (बडीवाल) Badwad (बडवड) Bagdi (बागड़ी) Bagraniya (बगरानिया) Bagri (बागरी ) Bakrecha (बाकरेचा) Balodiya (बलोदिया ) Banawada (बनावाड़ा) Banwal (बनवल) Barawal (बरावल) Barwal (बरवाल) Basniwal (बासनीवाल) Bataniya (बटनिया) Bathara (बथरा) Bavlecha (बावलेचा) Bayaria (बयारिया) Bedwal (बेडवाल) Beriwal (बेरीवाल) Betheriya (बेथरिया) Bhadaniya (भदैनिया) Bhaddaniya (भदनिया) Bharwal (भरवल) Bhatiwal (भाटीवाल) Bhatiya (भाटिया) Bhobharia (भोभरिया) Bhobhria (भोभरिया) Bhoriwal (भोरीवाल) Bhorodiya (भोरोड़िया) Binwal (बिनवाल) Birdiwal (बर्डीवाल) Biwal (बिवाल) Borawad (बोरावड़ ) Chandora (चांदोरा ) Chapola (चपोला) Chhaparwal (छापरवाल) Chhedwal (छेड़वल) Dadarwal (दादरवाल) Daiya (डैया ) Dambiwal (दंबीवाल) Datlecha (दातलेचा) Dehiwal (दहिवाल ) Devarath (देवरथ) Devlya (देवल्या) Dewatwal (देवतवाल) Dewda (देवड़ा) Dhanariya (धनारिया ) Dhumuniya (धुमुनिया) Dhundara (धुंदारा) Dhundhariya Doraya (दोराया) Dubaldiya (दुबलदिया ) Durand (डूरंड) Durar (दुरार) Etada (ईटाडा ) Gagulya (गांगुलिया ) Gaidar (गेदर ) Gangpariya (गैंगपरिया ) Ghantelwal (घंटेलवाल) Ghasoliya (घसोलिया ) Ghodawad (घोड़ावड़) Ghodla (घोड़ला ) Gola (गोला ) Gudiwal (गुड़ीवाल) Gugon (गुगौण ) Gujrati (गुजराती) Guri (गुरी) Harkiya (हरकिया) Hatwa (हटवा) Higarwal (हिगरवाल) Hindad (हिंदड़) Hingothiya (हिंगोठिया) Hothwal (होतवाल ) Itara (ईटाडा) Jagarwal (जगरवाल) Jajpura (जाजपुरा) Jakhya (जख्या) Jalandhara (जलांधरा ) Jalora (जालोरा ) Jalwal (जलवाल) Jalwania (जलवाणिया ) Janjoliya Jawla Jethiwal Jhajharwal Jhatwal Jinjinodia Johriya Jojawar Jorelia Kadwal Kamadiya Kankarwal Kantiwal Karadwal Karagwal Karodiwal Kasnaia Khanariya ( खनारिया ) Khargata Kharnaliya (खरनालिया) Kharol (खारोल) Kharotiya (खरोटिया ) Khataniya Khati Khatod Khattuwal Khekharia Khidichya Khohal Khoraniya Khowal Khudiya (खुड़िया ) Khurnaliya Khutaliya Kirodiwal Kiroriwal Kosambiya Kudal (कुदाल) Kukkadwal Kukliya Kulchaniya Kumiyal (कुमियाल) Kundalwal Ladanva Lakesar Larna (लारना) Limba (लिम्बा ) Limbiwal Lodwal Lohaniwal Lugreya Lunia Machiwal (माचीवाल ) Madaniya (मदानिया ) Madoria Magloda (मंगलोड़ा ) Mal (माल ) Malethia Maliwal Malviya (मालविया ) Mandawara Mandora (मंडोरा ) Mandovara Mangalav Mangnaniya (मगनणिया ) Marothiya Marwal Mavar (Mahr) ( मावर ) Mawariya (मवारिया ) Merutha (मेरुथा) Mevada (मेवाड़ा ) Mewara Mochiwal Mokhria Morwal Mudola Muleva (मुलेवा) Nagaria Nandiwal (नांदीवाल ) Nandwal Naneja Nanwal Neemwal Nehra Nimiwal Niraniya Nokhwal Odiya Osatwal Padiyar Pankhaniya Parmar Pensia Poad Prajapati Rahodia Rajora (राजोरा ) Rajoria Ravan Renia Renwal (रेणवाल ) Rewaria Rodela Sadiwal Saiwal Samuchiwal Sangar (सांगर ) Sangathia Sangwal Sankhawaya Sanodiya Sapilya (सैपिल्या) Sardiwal (सारडीवाल) Savlecha (सावलेचा ) Sigarwal (सिगरवाल) Sihota (सिहोटा ) Sinduria (सिंदुरिया) Sinwadia (सिंवाडिया) Siraswal (सिरसवाल) Sirotha (सिरोथा) Sirswa (सिरस्वा) Sivota (सिवोटा) Sohal (सोहल) Sokhal (सोखल) Solanki (सोलंकी) Sorathiya (सोरठिया) Sotwal (सोतवाल ) Suda (सुदा) Sulya (सुल्या) Surjaniya (सुरजनिया) Taiwal (ताइवान) Tak (टाक ) Tilaicha (तिलायचा ) Tondwal (टोंडवाल) Tunwal (तुनवाल) Tunwall (टुनवाल) Uba (उबा) Utwal (उटवल) Vardia (वर्दिया) Others

Date of Birth ( जन्म तिथि )*

Aadhar No. ( आधार नंबर )

PAN No. ( पैन नंबर )

State ( राज्य ) * Choose... Andaman and Nicobar Andhra Pradesh Arunachal Pradesh Assam Bihar Chandigarh Chhattisgarh Dadra and Nagar Haveli Daman and Diu Delhi Goa Gujarat Haryana Himachal Pradesh Jammu & Kashmir Jharkhand Karnataka Kerala Lakshadweep Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Odisha Puducherry Punjab Rajasthan Sikkim Tamil Nadu Tripura Uttar Pradesh Uttarakhand West Bengal

District ( ज़िला )* Choose... Others

City/Village ( शहर / गांव )*

Pincode ( पिन कोड )*

Address ( पता )*

State ( राज्य ) * Choose... Andaman and Nicobar Andhra Pradesh Arunachal Pradesh Assam Bihar Chandigarh Chhattisgarh Dadra and Nagar Haveli Daman and Diu Delhi Goa Gujarat Haryana Himachal Pradesh Jammu & Kashmir Jharkhand Karnataka Kerala Lakshadweep Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Odisha Puducherry Punjab Rajasthan Sikkim Tamil Nadu Tripura Uttar Pradesh Uttarakhand West Bengal

District ( ज़िला )* Choose... Others

City/Village ( शहर / गांव )*

Pincode ( पिन कोड )*

Address ( पता )*

Education ( शिक्षा ) * Choose... Below 10th 10th pass 12th pass S.T.C. Nursing PGDCA B.A. B.Com. B.Sc. B.B.A. B.C.A. B.Ed. Bachelor of Ayurveda B.Pharma B.D.S. L.L.B. C.A. M.B.B.S. B.Tech. Other

Master Education ( उच्च शिक्षा )* Choose... M.A. M.Com. M.Sc. M.C.A. M.B.A. M.Tech. M.Ed. M.Pharma M.Phil. MDS Master of Science (MS) Ph.D. Other

Profession ( व्यवसाय/कार्य ) * Choose... None Business Self Employed manufacturer Industrialist Private Service State Govt. Job Central Govt Job Defence Civil Services Retired Banking/Finance Service Other

Post ( पद )

कंपनी का नाम / विभाग का नाम

Image ( फोटो )