Registration
| 1 | Head of the Family: | Village: | ||||
| Name | Middle Name | Last Name | ||||
| 2 | 'Gotra' | Total Members in Family: | Page No. of Family in Last Vastipatrak: | |||
| Individual Details | Individual Details | Individual Details | Individual Details | Individual Details | Individual Details | |
| Sr. Nos. | Head of the Family | Person - 2 | Person - 3 | Person - 4 | Person - 5 | |
| 3 | Name: | |||||
| 4 | Father/Husband Name: | |||||
| 5 | Surname: | |||||
| 6 | Relation with 'Head': | |||||
| 7 | Male/Female: | |||||
| 8 | Date of Birth (D/M/Y): | |||||
| 9 | Education: | |||||
| 10 | Nature of Occupation: | |||||
| 11 | Blood Group: | |||||
| 12 | Married/Unmarried: | |||||
| 13 | Date of Marriage: | |||||
| 14 | Name of In-Law: | |||||
| 15 | Village of In-Law: | |||||
| Address | Address | Address | Address | Address | Address | |
| 16 | Home Address: >>> | |||||
| (if other than Head of Family) | ||||||
| City: | ||||||
| State: | ||||||
| Country: | ||||||
| Pin Code: | ||||||
| 17 | Office Address: >>> | |||||
| City: | ||||||
| State: | ||||||
| Country: | ||||||
| Pin Code: | ||||||
| Contact Information | Contact Information | Contact Information | Contact Information | Contact Information | Contact Information | |
| 18 | Residence Phone Nos: | |||||
| 19 | Office Phone Nos: | |||||
| 20 | Mobile Nos: | |||||
| 21 | Fax No: | |||||
| 22 | Email Address: | |||||
| 23 | Website Address: | |||||
| 24 | I hereby allow suntarsamaj.com to send me samaj updates via email and sms. | |||||
| Diksha Taken From Family | ||||||
| Sr Nos: >>> | 1 | 2 | 3 | |||
| 'Sansari' Name | ||||||
| Male/Female | ||||||
| 'Diksha' Name: | ||||||
| 'Diksha' Date: | ||||||
| Current Status: | ||||||
| Derasar | ||||||
| Sr Nos: >>> | 1 | 2 | 3 | |||
| Shikharbandh/Ghar: | ||||||
| Location: | ||||||
| Date of Innaugration: | ||||||
| Name of Mulnayak: | ||||||
