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ABBS Membership No.
Name
*
Father Name
*
DOB (dd/mm/yyyy)
*
Blood Group
Not Know
A+ive
A-ive
B+ive
B-ive
AB+ive
AB-ive
O+ive
O-ive
Date of Marriage (dd/mm/yyyy)
*
Qualification
*
Profession
*
Gotra
*
NOT KNOW
ARGHAI
BACHLAS
BADALASH
BANDALASH
BANDIAS
BILONIA
GAGLASH
GALAV
GANGAYE
GANGLASH
GOLASH
KASHYAP
KUCHLAS
VATS
KulDevi
*
NOT KNOW
ACHALA
ACHET
ACHRAT
AMBA
ANCHAL
ANCHAL NEEMA
ANCHAT
APRA
ARCHAT
ARCHITA
ARWAL
BABOOLI
BABUL
BABULI
BAMAN
BAMBOORI
BHAINSA
BHAINSA-CHARI
BILONIA
BRAHMANI
CHAKMUNDERI
CHAMAL
CHAMAND
CHAMUNDA
CHANVAD
CHAWAD
CHAWADA
CHAWLA
ETAH
ETA-ROSA
INTA
INTA-ROSA
JAK MUNDERI
JAKHAN
JEEWAN
KANIKA
KANKUS
KANYA
KARKARA
KASHY
KHUKAS
KINKA
KODA
KORA
KORRAH
KUMBHI
MAHUL
MAN MUNDERI
MANGOTHI
MUNDERI
NAGAL
NAGAN
NAGAN NAYAN
NAGAN PHUSAN
NAGIN
NAYAN
NAYAN-NAGAN
NEEMA
NEEMAN
NIMACH
PHUSAN
RAUSA
REENSHA
ROSA
ROSA-INTA
SAHU NAGAN
SANMAN
SANMAT
SANMATI
SANMUKH
SAPRA
SHAKRA
SHANDILYA
SHILA
SILDAV
SODAL
SOHAN SHUKLA
SON ARCHAT
SONA
SONAT
SUNAT
TAMA
TAMAS
TAMBA
TAMRA
TANWA
TAVE KI
UGAL
UKHAL
Mobile
*
LandLine
*
Email Id
Address
*
City
*
State
*
Country
*
Pin Code
*
Localsabha membership No.
Photo
*
Detail of other dependent Family Members (Other than Family Head )
S.No.
Name
(Do not write Bhargava)
Relationship (With Head of Family)
Date of Birth (dd/mm/yyyy)
Qualification
Profession
Mobile No.
ABBS Life
Member No.
local Sabha
MemberShip No.
Blood Group
Email Id
Married?
01
Not Know
A+ive
A-ive
B+ive
B-ive
AB+ive
AB-ive
O+ive
O-ive
02
Not Know
A+ive
A-ive
B+ive
B-ive
AB+ive
AB-ive
O+ive
O-ive
03
Not Know
A+ive
A-ive
B+ive
B-ive
AB+ive
AB-ive
O+ive
O-ive
04
Not Know
A+ive
A-ive
B+ive
B-ive
AB+ive
AB-ive
O+ive
O-ive
05
Not Know
A+ive
A-ive
B+ive
B-ive
AB+ive
AB-ive
O+ive
O-ive
06
Not Know
A+ive
A-ive
B+ive
B-ive
AB+ive
AB-ive
O+ive
O-ive
07
Not Know
A+ive
A-ive
B+ive
B-ive
AB+ive
AB-ive
O+ive
O-ive
08
Not Know
A+ive
A-ive
B+ive
B-ive
AB+ive
AB-ive
O+ive
O-ive
09
Not Know
A+ive
A-ive
B+ive
B-ive
AB+ive
AB-ive
O+ive
O-ive
10
Not Know
A+ive
A-ive
B+ive
B-ive
AB+ive
AB-ive
O+ive
O-ive