Vasti Patrak Form
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Select Form Type
Moti Khakhar Gamai
Moti Khakhar NIyani
Click here to Fill Niyani Form
Type Your Family Code
Back
Submit
Submit
Submit
Verify
Name
Father/Husband Name
Grand Father/ Father in Law Name
Surname
Original Surname (Type only if you have changed your surname)
Total Family Members staying together
Address Line 1
Address Line 2
Area
City
Zone
— Select —
East
West
N/A
Pin Code
Mobile No.
WhatsApp Number
Landline
*Email
Date Of Birth
Blood Group
— Select —
A+
A-
B+
B-
AB+
AB-
O+
O-
Maritual Status
Married
Unmarried
Divorced
Widowed
Date Of Marriage
Education
Student / Studying
Below SSC
SSC / HSC
Graduate / Diploma
Post Graduate
Phd
Mention Specific Degree
Professional Details
Occupation
Job/Service
Business
Self Employed
Homemaker
Retired
Business Name / Company Name
Business / Company Type
(e,g. – Manufacturing / Wholesale / Retail / Trading / Agency / Service sector / Franchisee)
Business Category / Job Industry
(e.g. – Garments / Hotel / Consulting Services / Showroom/ Grocery & Food)
Business / Job Location
(Type Complete Address with pin codes)
Position
(e.g. – Owner / Manager / Accountant / Team Leader)
Other Activity / Hobbies / (Area of Interest)
(e.g. – Cricket / Foot Ball / Vollyball / Singing / Dancing / Drawing
Achievement
1
Year
Fields
— Select —
Academics
Sports
Arts
Social
Level
— Select —
Community Based
District
State
National
International
2
Year
Fields
— Select —
Academics
Sports
Arts
Social
Level
— Select —
Community Based
District
State
National
International
3
Year
Fields
— Select —
Academics
Sports
Arts
Social
Level
— Select —
Community Based
District
State
National
International
Details
Dharma Panth
Deravasi Jain
Sthanakvasi Jain
Both
Other
Other Please Mention
Submit
For Any Help or Suggestions in Form Pls Contact
Nirav Gangar - 9867760140
Chintan Shah - 7303545864