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Gender *
Male
Female
Other
Known Language
Hindi
English
Marathi
-- State --
Delhi
Jammu and Kashmir
Himachal Pradesh
Punjab
Chandigarh
Uttarakhand
Haryana
Rajasthan
Uttar Pradesh
Bihar
Sikkim
Arunachal Pradesh
Nagaland
Manipur
Mizoram
Tripura
Meghalaya
Assam
West Bengal
Jharkhand
Odisha
Chattisgarh
Madhya Pradesh
Gujarat
Dadra and Nagar Haveli and Daman and Diu
Maharashtra
Andhra Pradesh
Karnataka
Goa
Lakshadweep
Kerala
Tamil Nadu
Pondicherry
Andaman and Nicobar Islands
Telangana
Andhra Pradesh
Ladakh
Same as above
-- State --
Delhi
Jammu and Kashmir
Himachal Pradesh
Punjab
Chandigarh
Uttarakhand
Haryana
Rajasthan
Uttar Pradesh
Bihar
Sikkim
Arunachal Pradesh
Nagaland
Manipur
Mizoram
Tripura
Meghalaya
Assam
West Bengal
Jharkhand
Odisha
Chattisgarh
Madhya Pradesh
Gujarat
Dadra and Nagar Haveli and Daman and Diu
Maharashtra
Andhra Pradesh
Karnataka
Goa
Lakshadweep
Kerala
Tamil Nadu
Pondicherry
Andaman and Nicobar Islands
Telangana
Andhra Pradesh
Ladakh
Date of Birth *
DD
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
MM
01
02
03
04
05
06
07
08
09
10
11
12
YYYY
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
Marital Status *
Yes
No
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