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	Portrait Photographs of Self & Spouse
Year Photo Taken		Year Photo Taken
Name*		Spouse's Name
Father's Name*		Mother's Name*
Grand Father's Name*		Grand Mother's Name*
Date of Birth:*		Date of Marriage:
Residential Address (Present):		Address(Permanent):
Office Address
Landline Nos. (Residence):		Mobile No.*
Office No.
E-mail
Website
Brief Business/Occupation Profile
Personal Profile
Any other relevant information: