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Gulfam Matrimony The Muslim Marriage Portal

PROFILE ID:_________________

Dear Brother/Sister in Islaam - As Salaamu Alaikum Wa Rahmatullahi Wa Barakaatuhu


We hereby request you to please fill this application form completely and handover it to your nearest Gulfam Matrimony
office/agent/franchisee or courier/mail it to the address mentioned below. Your profile would be uploaded and an sms will be sent to you (to
the mobile number provided in the registration form) containing your PROFILE ID and PHOTO PASSWORD. Incomplete applications will not be
processed.
1)Please use CAPITAL LETTERS 2) Use ball point pen 3)Use [] where ever applicable 4)Call +91 8548944461 for further
information/help.

BASIC INFORMATION:
NAME:

GENDER:

DOB: ____/________/_________

MARITAL STATUS: [ ]UNMARRIED [ ]WIDOWED [ ]DIVORCED [ ]SEPERATED [ ]MARRIED

TO BE FILLED BY MARRIED/ WIDOWED/ DIVORCED/ SEPERATED PROFILES ONLY


NO. OF CHILDREN:

CHILDREN'S STATUS: [ ]LIVING WITH ME [ ]NOT LIVING WITH ME

MOTHER TONGUE:

PROFILE CREATED BY:

ACCOUNT INFORMATION:

REFERENCE BY:

E-MAIL:

RELIGIOUS INTERESTS:
MATHAB:

[ ]A MUSLIM

[ ]HANAFI

[ ]TABLEEGHI JAMAAT

[ ]SHAFA'I

PERFORM NAMAAZ 5 TIMES DAILY: [ ]ALWAYS


PERFORMED HAJJ/UMRAH: [ ]YES

[ ]HANBALI

[ ]UNSPECIFIED

[ ]MALIKI

[ ]AHLE HADITH

[ ]SALAFI [ ]BARELWI

[ ]OTHER

[ ]NEVER

[ ]SOMETIMES

[ ]NO

[ ]FRIDAYS

[ ]PREFER NOT TO SAY

YOU/PARENTS REVERTED TO ISLAM: [ ]YES

[ ]NO

TO BE FILLED BY MALE PROFILES ONLY


HAVE BEARD: [ ]YES

[ ]NO

PREFER TO SEND YOUR WIFE TO WORK AFTER NIKAH: YES / NO

TO BE FILLED BY FEMALE PROFILES ONLY


WEAR HIJAB: [ ]YES

[ ]NO

LIKE TO CONTINUE/ GO TO WORK AFTER NIKAH? YES / NO

EDUCATION AND OCCUPATION:


EDUCATION: [ ]ISLAMIC EDUCATION

[ ]BACHELORS - ENGINEERING/COMPUTER

[ ]BACHELORS - ATRS/SCIENCE/COMMERCE/OTHER
[ ]MANAGEMENT MBA/BBA/OTHER

[ ]MEDICINE GENERAL/DENTAL/HOMEO/AYU/VET

[ ]MEDICINE PHARMACY/NURSING/LAB/HEALTH
[ ]CIVIL SERVICE

[ ]MASTERS ENGINEERING/COMPUTER

[ ]MASTERS ATRS/SCIENCE/COMMERCE/OTHER
[ ]LEGAL BL/ML/LLB/LLM

[ ]HIGHER SECONDARY /TTC/ TTI

[ ]HIGH SCHOOL

[ ]DILPOMA

[ ]DOCTORATE

[ ]FINANCE CA/ICWAI/CS

[ ]LESS THAN HIGH SCHOOL

[ ]OTHER

EDUCATION DETAILS:
(EX: BIO-CHEMISTRY, FINE ARTS, PILOT TRAINING, MEDICINE)

OCCUPATION:
(EX: ENGINEER, LECTURER, DRIVER, DOCTOR, BEAUTICIAN, MANAGER)

OCCUPATION DETAILS:
(EX: ENGINEER MECHANICAL, MANAGER LOGISTICS, DRIVER - HEAVY)

ANNUAL INCOME: [ ]RS ____________ TO ____________

[ ]STUDENT

[ ]NO INCOME

[ ]PREFER NOT TO SAY

PHYSICAL ATTRIBUTES:
HEIGHT:

WEIGHT:

COMPLEXION: [ ]VERY FAIR

[ ]FAIR

[ ]WHEATISH MEDIUM
SPECIAL CASES: [ ]NORMAL

[ ]WHEATISH

BLOOD GROUP:

[ ]DARK

[ ] WHEATISH BROWN

[ ]POOR MUSLIM GIRL

[ ]PHYSICALLY CHALLENGED BY BIRTH


SMOKE: [ ]YES
[ ]NO
[ ]OCCASIONALLY
(SMOKING IS INJURIUOS TO HEALTH, AND FATAL)

Gulfam Matrimony The Muslim Marriage Portal.


#37, 3RD MAIN, 7TH CROSS,
TEACHERS COLONY, MS PALYA 2ND STAGE,
VIDYARANYAPURA POST, BANGALORE 560097

BODY TYPE: [ ]SLIM

[ ]AVERAGE

DIET: [ ]VEGETARIAN

[ ]ORPHAN MUSLIM GIRL

[ ]DEAF/DUMB

[ ]PHYSICALLY CHALLENGED BY INCIDENT

[ ]ATHLETIC

[ ]NON VEGETARIAN

[ ]HEAVY

[ ]EGGETARIAN

[ ]BLIND
[ ]OTHER DISABILITY

DRINK: [ ]YES
[ ]NO
[ ]OCCASIONALLY
(DRINKING IS PROHIBITED IN ISLAAM, DO TAUBA AND QUIT)

www.gulfammatrimony.com | support@gulfammatrimony.com | +91 - 8548944461


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Gulfam Matrimony The Muslim Marriage Portal

PROFILE ID:_________________

CONTACT DETAILS:
ADDRESS:

COUNTRY:
STATE:
CITY:
PHONE:
MOBILE:

PROFILE DESCRIPTION:
PLEASE ENTER DETAILS OR PROVIDE A BRIEF DESCRIPTION ABOUT YOURSELF:
(IF PROFILE CONTAINS ANY INFORMATION REGARDING YOUR CONTACT DETAILS, SUCH AS E-MAIL, PHONE NUMBER, ETC., YOUR PROFILE WILL BE
REJECTED.)

FAMILY DETAILS:
FAMILY TYPE: [ ]JOINT FAMILY

[ ]SEPERATE FAMILY

NO OF BROTHERS:

ELDER[

FAMILY STATUS: [ ]RICH/AFFLUENT [ ]HIGH CLASS

YOUNGER[

[ ]UPPER MIDDLE CLASS [ ]MIDDLE CLASS

[ ]LOWER MIDDLE CLASS

NO OF BROTHERS MARRIED:
NO OF SISTERS:

ELDER[

[ ]DONT WANT TO TELL AT THIS TIME


]

FATHER'S STATUS: [ ]ALIVE

YOUNGER[

NO OF SISTERS MARRIED:

[ ]NOT ALIVE

FATHER'S OCCUPATION:[ ]EMPLOYED


[ ]PROFESSIONAL

MOTHER'S STATUS : [ ]ALIVE

[ ]BUSINESS

[ ]RETIRED

[ ]NOT ALIVE

MOTHER'S OCCUPATION:[ ]HOME MAKER

[ ]NOT WORKING

[ ]EMPLOYED

[ ]PROFESSIONAL

[ ]BUSINESS

[ ]RETIRED

PARTNER PREFERENCE:
LOOKING FOR: [ ]UNMARRIED

[ ]SEPERATED

[ ]WIDOWED

AGE:

[ ]DIVORCED [ ]DOES NOT MATTER


EDUCATION: [ ]ISLAMIC EDUCATION

HEIGHT: FROM______________ TO ______________

[ ]BACHELORS - ENGINEERING/COMPUTER

[ ]BACHELORS - ATRS/SCIENCE/COMMERCE/OTHER
[ ]MANAGEMENT MBA/BBA/OTHER

[ ]MASTERS ENGINEERING/COMPUTER

[ ]MASTERS ATRS/SCIENCE/COMMERCE/OTHER

[ ]MEDICINE GENERAL/DENTAL/HOMEO/AYU/VET

[ ]MEDICINE PHARMACY/NURSING/LAB/HEALTH
[ ]CIVIL SERVICE

FROM______________ TO ______________

[ ]LEGAL BL/ML/LLB/LLM

[ ]HIGHER SECONDARY /TTC/ TTI

[ ]HIGH SCHOOL

[ ]DILPOMA

[ ]DOCTORATE

[ ]FINANCE CA/ICWAI/CS

[ ]LESS THAN HIGH SCHOOL

[ ]OTHER

[ ]DOES NOT MATTER


EXPECTATIONS:(PARTNER PREFERENCE)

MATHAB:

[ ]A MUSLIM

[ ]HANAFI

[ ]TABLEEGHI JAMAAT
COMPLEXION: [ ]VERY FAIR

[ ]FAIR

[ ]SHAFA'I

[ ]HANBALI

[ ]UNSPECIFIED
[ ]WHEATISH

Gulfam Matrimony The Muslim Marriage Portal.


#37, 3RD MAIN, 7TH CROSS,
TEACHERS COLONY, MS PALYA 2ND STAGE,
VIDYARANYAPURA POST, BANGALORE 560097

[ ]OTHER

[ ]DARK

[ ]MALIKI

[ ]AHLE HADITH

[ ]SALAFI [ ]BARELWI

[ ]DOES NOT MATTER


OCCUPATION:

www.gulfammatrimony.com | support@gulfammatrimony.com | +91 - 8548944461


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Gulfam Matrimony The Muslim Marriage Portal


[ ]WHEATISH MEDIUM

PROFILE ID:_________________

[ ] WHEATISH BROWN

PHOTO DETAILS:
NUMBER OF PHOTOS SUBMITTED: [ ]ONE

[ ]TWO

[ ]THREE

DO YOU WANT TO PASSWORD PROTECT YOUR PHOTOS FROM OTHERS? [ ]YES

[ ]NO

DECLARATION:
I HEREBY DECLARE THAT THE INFORMTION GIVEN BY ME IS CORRECT TO THE BEST OF MY KNOWLEDGE.
GULFAM MATRIMONY WILL NOT BE HELD RESPONSIBLE FOR ANY KIND OF WRONG INFORMATION/DISCREPANCIES
HEREIN.I AGREE TO THE TERMS OF USE AGREEMENT(ANNEXURE) AND I ALSO AGREE TO THE PRIVACY POLICY OF
GULFAM MATRIMONY.
PLACE:

DATE:

SIGNATURE:

FOR OFFICE USE ONLY:


MEMBERSHIP TYPE: [ ]FREE MEMBER
[ ]PAID MEMBER
AMOUNT:
PLAN:
PAYMENT MODE: [ ]CASH [ ]CHEQUE [ ]DD [ ]CARD
SL:

DATE:

ACTIVITY:

1.

FORM ENTRY

2.

PROFILE VERIFICATION

3.

PHOTO UPLOAD

4.

PAYMENT COLLECTION

5.

REPORT DELIVERY

DONE BY:

RECEIPT NUMBER:
SIGNATURE:

Payment Options:
Payment through Cheque /DD /Money Order
Cheque/DD should be drawn In Favour of:

CAMEL TECHNOLOGIES, #37, 3RD MAIN, 7TH CROSS, TEACHERS COLONY,


MS PALYA 2ND STAGE, VIDYARANYAPURA POST, BANGALORE 560097 (Opp Go Gas Bunk)
(PLEASE ADD AN ADDITIONAL CHARGE OF RS 50 FOR OUTSTATION CHEQUES. PROFILE ACTIVATION SUBJECT TO REALIZATION OF CHEQUE).

Bank Wire Transfer:


HDFC Bank:
You can transfer payment (EFT/NEFT) to our HDFC Bank account using the online banking interface of your account.
In Favor of: Camel Technologies
Account No. - 15692000001356
Branch 21, NTI LAYOUT, NARASIPURA VIDYARANYAPURA MAINROAD, BANGALORE 560097
RTGS/IFSC Code: HDFC000001569
By Paypal Account: support@gulfammatrimony.com
You need to call us at +91 8548944461 or Email us to support@gulfammatrimony.com, with your payment details like:
1.The name and place of the Bank 2.Date of Payment 3.Amount you paid 4.Your Matrimonial ID or Email ID.
After receiving the Email or Call we will verify your payment and activate your profile.
NOTE: If you are making a cash deposit to our HDFC Bank Account, please add bank charges of Rs.115/-.

TERMS AND CONDITIONS:


For using the Gulfam Matrimony / www.gulfammatrimony.com ("Offline / Online matrimony portal services"), All you have to do is to register
as a member of the Portal ("Member") and agree to be bound by these Terms of Use ("Agreement"). As a member of Portal, you confirm that
you agree to abide by the following provisions.
Eligibility: Eligibility for registering as a member of Portal or in order to use this Portal, the prospective bride / groom shall be of legal

Gulfam Matrimony The Muslim Marriage Portal.


#37, 3RD MAIN, 7TH CROSS,
TEACHERS COLONY, MS PALYA 2ND STAGE,
VIDYARANYAPURA POST, BANGALORE 560097

www.gulfammatrimony.com | support@gulfammatrimony.com | +91 - 8548944461


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Gulfam Matrimony The Muslim Marriage Portal

PROFILE ID:_________________

marriageable age as per the prevalent laws in India (minimum of 18 years for females and 21 years for males) or the laws prevailing in your
country of origin/residence. In case if the parent / guardian / relative of the prospective bride / groom is using the services of Portal on behalf of
prospective bride/ groom, it is clearly understood that the parent / guardian / relative has the authority and complete rights to do so on his / her
behalf.
User Conduct and Obligations:
You will agree to follow all applicable laws and regulations when using this Portal. Furthermore, you also agree that you shall not upload, post or
otherwise transmit through or to this Portal any content that is unlawful, abusive, threatening, harmful, obscene, lewd, offensive, defamatory or
otherwise objectionable and

Will not Violate the intellectual rights of property, privacy rights of publicity, or other proprietary rights of Portal or others.

Will not transmit junk mail, chain letters, or other unsolicited bulk email or duplicative messages and profiles, mails containing viruses
or Trojan horses, or any other harmful contents which may cause any damage for the portal.

Will not sell or distribute access to or the use of this Portal.

Will not redistribute any content, including personal and financial data, provided by us in any manner.

Will not alter any personal information or other information relating to any profile through any licensed/priated software or external
means.

Will not use this for any commercial activities or for any purpose illegal and / or unauthorized use of these services, as otherwise
Portal reserves its right to take appropriate legal action.

Will not engage in any advertising/marketing to, or solicitation of other members for any type of product / services.

Portal may delete any contents / profiles that In the sole judgment of Portal violating the Agreement or which might be offensive,
illegal, or t hreatening the safety of Portal or its members or howsoever it deems fit, without giving any reason.
You hereby confirm that the information provided by other members are not verified by Portal and you are advised to make appropriate /
thorough enquiries before acting on any member.
Jurisdiction: You must use the Portal Service in adherence to all applicable local, state, and federal laws and regulations. If any disputes /
claims, the exclusive jurisdiction shall be the courts in Bangalore only.
Member Disputes: You will be solely responsible for your interactions with other Portal Members. Portal expressly disclaims and absolves
itself of any liability or responsibility whatsoever and howsoever arising from such interactions by you and we wil not be held responsible for the
same.
Schemes /Plans and Registration: Portal reserves the right to change the plans/schemes as well as the number of profiles which will be
made available to members at its own discretion, as it deems fit, without giving any valid reason or advance notification.
Disclaimer: Portal will neither be responsible for any incorrect or inaccurate content/ information posted on Portal database whether caused
by users, members or any of the equipment or programming associated with or utilized in the service, nor for the product of any user and / or
member of Portal whether online or offline. Portal will not take any responsibility for any error, interruption, omission, defect, deletion, delay in
operation or transmission / communications failure, theft, destruction or unauthorized access to, or alteration of user and / member
communications.
Portal will not be responsible for any problems or technical malfunction of any telephone network of lines, computer online systems,
servers or providers, computer equipment, software failure, software malfunction, failure of email etc. Under no circumstances will Portal be
held responsible for any loss or damage resulting from anyones use of the service or any content posted on Portal or transmitted to members of
Portal.
The exchange of matrimonial profile(s) through Portal should not in any way be construed as any matrimonial offer and / or
recommendation from / by Portal. Portal cannot guarantee and does not promise any specific results from use of the matrimonial services
Indemnity: You hereby indemnify and hold Portal, its subsidiaries, affiliates, offices, franchisees, agents and any other partners and
employees, harmless from any loss, liability or demand, including reasonable attorneys fees, made by any third party due to or arising out of
your use of the services in violation of this Agreement and / or arising from a breach of these Terms of Use and / or any breach of your
representatives and warranties set forth above.
Modifications to Terms and Conditions: Without giving any notice Portal has the right at its sole discretion to modify, add or remove any
terms or conditions mentioned above, Any changes done to the above Terms and Conditions will be effective immediately following the posting
of such changes on this Portal.

Entered By:

Date:

Verified By:

Signature:

Gulfam Matrimony The Muslim Marriage Portal.


#37, 3RD MAIN, 7TH CROSS,
TEACHERS COLONY, MS PALYA 2ND STAGE,
VIDYARANYAPURA POST, BANGALORE 560097

Date:

Signature:

www.gulfammatrimony.com | support@gulfammatrimony.com | +91 - 8548944461


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