Register For Akshadaa Event

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First Name

Middle Name

Last Name

Permanent Address

Email ID

Contact No.

WhatsApp No.

Blood Group

Gender

First Gotram

Second Gotram

Birth Name

Birth Day (mm/dd/yyyy)

Education

Profession

Partner's Expected Education

Partner's Expected Profession

Candidate Vaccination Details:

No. of Doses Done

Vaccination Certificate

No. of non parent attendees

1^st Parent/Relative Details:

Name

No. of Doses Done

Vaccination Certificate

2^nd Parent/Relative Details:

Name

No. of Doses Done

Vaccination Certificate

3^rd Parent/Relative Details:

Name

No. of Doses Done

Vaccination Certificate

4^th Parent/Relative Details:

Name

No. of Doses Done

Vaccination Certificate

Total Amount (candidate + parents)

Total Parent/Relative Amount

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