Shree Mumbai Digambar Jain Seva Samiti

Candidate Info

Salutation:

First Name:

Last Name:

Gender:

Date Of Birth:

Time Of Birth:

Place Of Birth:

Height

Feet

Inches

Complextion:

Self Gotra:

Mama Gotra:

Non Manglik / Manglik

Education:

Candidate Occupation / Designation:

Name of the Company / Organization:

Candidate Annual Income:

Candidate Contact No:

Hide Contact No from book:

Candidate Email Id:

Current City:

Father's Name:

Father Occupation:

Father's Yearly Income:

Father's Email Id:

Father's Contact No:

Brother/s

Married:

Unmarried:

Sister/s

Married:

Unmarried:

Native Place:

Relative Name:

Relative Contact No:

Correspondence Address:

Address Line 1:

Address Line 2:

Address Line 3:

Address Line 4:

City :

Pincode :

State :

Preferences for Match:

If applicable:

Divorcee

Widower

Widow

NO OF KIDS:

Handicapped:

Yes

For Parichay Registration purpose

Email Id:

WhatsApp No:

Declaration

I declare and confirm that whatever information I have provided is true to my knowledge and I take complete responsibility for the same. Shree Mumbai Digamber Jain Seva Sangh does not verify the information provided by the user and thus cannot be held liable for any incorrect data provided by the user.

I have read and agree to the terms and conditions

1	For offline registration:- 1. Please fill Parichay form in English only and in good hand writing. 2. Do Not Paste the Photo on Form. Just Attach it with Pin or staple Photo at the Corner. 3. Draft/Cheque to be sent favouring "Shri Mumbai Digambar Jain Seva Sangh" . 4. Neft/Direct Deposit Bank Details:- A/c No. 003805008894 ICICI Bank Bandra Branch IFSC Code ICIC0000038
2	Registration Charges:- Rs.1300/-
3.	Only Entries Received till 27th April 2025 will be printed in Parichay Pustika 2025. Entries Received after 27th April 2025 will be accomodated in Supplemantary Issue which will not be Printed. Only Pdf of Supplementary issue will be circulated to all the Registered Candidates on their registered Mobile No. No physical Supplementary Book will be Printed.
4.	Pdf of 21st Yuvak Yuvti Parichay Samellan 2025 directory will be made available to the registered Canditates only.
5.	Girl candidate above 18 years and boy candidate above 21 years of age only can participate.
6.	Forms will Not be accepted without registration Charges.
7.	All Candidates participating are requested to Join the event by 10:30 AM Sharp on Sunday 11th May 2025.
8.	Only those who have filled valid participation form will be permitted to Introduce themselves on Stage.
9.	All right to admission are reserved by the Trust. Sangh reserves the right to accept or reject any form without assigning any reason.
10.	Participation fees is waived for needy Candidates who are unable to pay the same. Please contact sangh office for details.
11.	Widow/Widower/divorcee/Handicap andPhysically challenged can also apply for participation
12.	For more info regarding Samellan Updates visit us on www.sevasamiti.com or write to us on email: digambarsevasamiti@gmail.com
13.	Any Digambar Jain from anywhere in world can register and participate.
14.	More details about Candidate and their family may be obtained directly from the participant.
15.	Sangh will not be responsible for any publishing Errors / Data Authenticity.
16.	Venue Address:- Shri Halari Bisa Oswal Samaj Hall, 118/122 DadaSaheb Falke Road, Opp. Ranjeet Studio, Dadar East, Mumbai - 14. Event Date :- 11th May 2025 (Sunday) - 10:30 AM.
17.	For any query Please Contact:- Online Registration:- Shri Manoj Jain - 09321029234 Shri Manish Jain - 09821884044 Offline Registration:- Shri Nirmal Jain (Tikamgadh) - 09869002543 Shri Kamal Gangwal - 09820131326

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