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

*Caste

OBC

*Sub Caste

Hindu talpada koli

*Surname

SHIYAL

*Name

DIPAK

Father's Name

Mother's Name

*Birth Date

1997-10-24

Age

Height

5ft 5in

Gender

Male

*Marital Status

Never Married

Do you believe in Caste?

Yes

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

Mobile Number

7046759464

*Organization Name

Disability Rights and Awareness Forum

*State Name

Gujarat

*District/City Name

Rajkot

*Permanent Residence Address

At kharchiya jas Ta. Vinchhiya Dist. Rajkot

*Current Address

At kharchiya jas Ta. Vinchhiya Dist. Rajkot

My choice for the life partner is as below

Caring

~~~~~~ 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?"

40%

*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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