How to get a form

Jaindhram.com-Matrimonial

Form for placing your Ad with Photograph

or an Ad for 90 Days or One year

Please download / Print / Save this form. Print it. Completely fill it up. Please follow the instructions for filling the form. Enclose appropriate payment and post it.

Date of filling form :_________________ Date of Birth :____________

eight in cms. :___________________________ Complexion :_______________

Culture :___________________________

Caste :___________________________

Gotra :___________________________ Sub-Caste :__________________

If You are a Jain specfie the panth etc. ________________________________

Occupation :_______________ Edu.Qualifications :_______________________

Annual Income :Rs._________________ Marital Status :__________________

Present Residence City:__________________________

If Divorced/widow do you have issues _____________________________

If yes, details from previous marriage ?:______________________________

Present Residence State:_________________________

Present Residence Country:_______________________

Address of Your Native Place.________________________________________

Language can write & Speak: ____________________________________________-

Photograph ? :______________ Physical Disability, if any:______________________

Spectacles ? :____________________

Contact Lenses ? :_________________________

DD No. and Bank Details :____________________

Name of the person to be contacted and relation: ________________________

Contact Details: _____________________________________________

Ad You Want for [] 30 days [] One year

Write more about yourself :____________________________________________________________________

_________________________________________________________________________________________

And write about your expectations :______________________________________________________________

_________________________________________________________________________________________

Payment option : [] Indian Rs. [] US $

[] By Money Order [] Credit Card [] Wire Transfer.

( Please check The Payment option below this form )

Payment Enclosed :__________________________

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NATURE OF SERVICE	REGULAR CHARGES
Basic Ad Service for 90 days	Rs. 1,500/- or US$ 50/-
Basic Ad Service for One Year	Rs. 25,00/-or US$ 80/-
Extra charges for providing e-mail address and collecting your e-mail and forwarding it to you by mail for one year	Rs. 750/-or US$ 25/- 90 Days Rs.1500/- or US$ 50/- 1 Year
Feed Back of Matching Data without Ad & Once for all till candidate settle	Rs. 1100/- or US $ 40/-
Membership ( Please read detail in Membership ) In Addition to Add	Rs. 1100/- or US $ 40/-

*If You are Listing two or more from one family or You are a member of "Jain Amazing Club" you will be entitled for the 10% discount

All payments should be made by either in Rupee Demand Drafts made payable in Bombay in favor to "jaindhram.com" OR Checks/Demand Drafts, drawn in US$, payable in United States favoring "jaindhram.com".

There is Simple 3 Type to Your Payment

1st: Pay By Credit Card.

Click Here to Download/save/print the Credit Card Voucher. Feel it , write amount, Sign it and fax it or mail to to Jaindhram.com. Paper Box House. Mahakali Caves Road. Andheri-East. Bombay-400 093 ( India ).

You Need to Fax: 91- (0) 22 - 8215249 or 91-(0)22-6231958

2nd: Pay by Money Order, By Demand Draft , check Etc.

Payment in Indian Rupees: Checks,Drafts, Money Order should be payable in Bombay in favor to jaindhram.com.

Payment in US $ : To be payable in US in favor to jaindhram.com

And to be mail to: Jaindhram.com.

Paper Box House. Mahakali Caves Road. Andheri-East. Post Box No. 9434. Bombay-400 093 ( India )

3rd: Pay by Wire Transfer.

HDFC Bank. Ltd. Andheri (West ) Link Road. Bombay- 400 058 ( India ) Code: 0011406717 A/C of HDFC Swift cash33 further credit to a/c jaindhram.com a/c No. 0192000002034