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~~~~~~ Personal Information ~~~~~~

*Caste

HINDU

*Sub Caste

HINDU

*Surname

BHAGORA

*Name

CHAMPA BEN

Father's Name

Mother's Name

*Birth Date

4981-06-01

Age

2954

Height

4ft 2in

Gender

Female

*Marital Status

Never Married

Do you believe in Caste?

~~~~~~ Communication/Contact Information ~~~~~~

Mobile Number

Mobile number not found

*Organization Name

SOCIETY FOR THE PHYSICALLY HANDICAPED VADODARA

*State Name

Gujarat

*District/City Name

Sabarkantha

*Permanent Residence Address

AOCHAT DAMOR FALIYU GALI SEMRO SABRKATHA

*Current Address

AOCHAT DAMOR FALIYU GALI SEMRO SABRKATHA

My choice for the life partner is as below

~~~~~~ Education/Qualification & Employment Details ~~~~~

Details of Education & Qualification

Details of Job or Business

Address of Job or Business

Experience of Job or Business

Father's Job or Business

Father's Job or Business's Address

Mother's Job or Business

Mother's Job or Business's Address

~~~~~~ disAbility Details ~~~~~~

*Disabilty type

Locomotor Disability(Orthopedic disability such as Polio,Paralysis,amputation disability)

*Percentage of disability?"

*Disability Details

ONE LEG

~~~~~~ Brothers & Sisters Details ~~~~~~

Details of your sisters

Details of your brothers

--- Extra Details ---

Any Addiction?

Birth Place

Manglik ?

Hobby

Achievement in the field of Art or Sports?

Any Achievement in the Social Field?

Any extra Service being provided by you?

Any Award or Prize won by you?

Do you have any Visa or Citizenship of any other country?

Any of your family member staying at foriegn?

Please brief of any legal action taken on you?

Any other information you want to give about you?

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