Beruflich Dokumente
Kultur Dokumente
PROFILE ID:_________________
BASIC INFORMATION:
NAME:
GENDER:
DOB: ____/________/_________
MOTHER TONGUE:
ACCOUNT INFORMATION:
REFERENCE BY:
E-MAIL:
RELIGIOUS INTERESTS:
MATHAB:
[ ]A MUSLIM
[ ]HANAFI
[ ]TABLEEGHI JAMAAT
[ ]SHAFA'I
[ ]HANBALI
[ ]UNSPECIFIED
[ ]MALIKI
[ ]AHLE HADITH
[ ]SALAFI [ ]BARELWI
[ ]OTHER
[ ]NEVER
[ ]SOMETIMES
[ ]NO
[ ]FRIDAYS
[ ]NO
[ ]NO
[ ]NO
[ ]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
[ ]HIGH SCHOOL
[ ]DILPOMA
[ ]DOCTORATE
[ ]FINANCE CA/ICWAI/CS
[ ]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)
[ ]STUDENT
[ ]NO INCOME
PHYSICAL ATTRIBUTES:
HEIGHT:
WEIGHT:
[ ]FAIR
[ ]WHEATISH MEDIUM
SPECIAL CASES: [ ]NORMAL
[ ]WHEATISH
BLOOD GROUP:
[ ]DARK
[ ] WHEATISH BROWN
[ ]AVERAGE
DIET: [ ]VEGETARIAN
[ ]DEAF/DUMB
[ ]ATHLETIC
[ ]NON VEGETARIAN
[ ]HEAVY
[ ]EGGETARIAN
[ ]BLIND
[ ]OTHER DISABILITY
DRINK: [ ]YES
[ ]NO
[ ]OCCASIONALLY
(DRINKING IS PROHIBITED IN ISLAAM, DO TAUBA AND QUIT)
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[
YOUNGER[
NO OF BROTHERS MARRIED:
NO OF SISTERS:
ELDER[
YOUNGER[
NO OF SISTERS MARRIED:
[ ]NOT ALIVE
[ ]BUSINESS
[ ]RETIRED
[ ]NOT ALIVE
[ ]NOT WORKING
[ ]EMPLOYED
[ ]PROFESSIONAL
[ ]BUSINESS
[ ]RETIRED
PARTNER PREFERENCE:
LOOKING FOR: [ ]UNMARRIED
[ ]SEPERATED
[ ]WIDOWED
AGE:
[ ]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
[ ]HIGH SCHOOL
[ ]DILPOMA
[ ]DOCTORATE
[ ]FINANCE CA/ICWAI/CS
[ ]OTHER
MATHAB:
[ ]A MUSLIM
[ ]HANAFI
[ ]TABLEEGHI JAMAAT
COMPLEXION: [ ]VERY FAIR
[ ]FAIR
[ ]SHAFA'I
[ ]HANBALI
[ ]UNSPECIFIED
[ ]WHEATISH
[ ]OTHER
[ ]DARK
[ ]MALIKI
[ ]AHLE HADITH
[ ]SALAFI [ ]BARELWI
PROFILE ID:_________________
[ ] WHEATISH BROWN
PHOTO DETAILS:
NUMBER OF PHOTOS SUBMITTED: [ ]ONE
[ ]TWO
[ ]THREE
[ ]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:
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:
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 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:
Date:
Signature: