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First Name *	Last Name (surname)
Gender	Male Female
Date of Birth *
Marital Status	Unmarried Divorcee Widowed Separated
Have Children	No Child Yes, Living with me Yes, But not living with me
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Look Details
Health Problem (if any)
Religion *
Caste *
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Education and Work Details

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Education in Details
Occupation *	Service Profession Business None
Work details
Income Group *	(Annual Income)

Life Style

Diet *	Veg Eggetarian Occasionally Non-Veg Non-Veg Jain Vegan
Smoke *	Yes No Occasionally
Drink *	Yes No Occasionally

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