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Sl. No.TitleFIRST NAMEINITIALFAMILY NAMERELATIONSHIP (Self / Wife / Daughter / Son ...)OccupationMOBILE PHONEPublish? Y/NE-MAILPublish? Y/NWEB PAGEPublish? Y/NWeb Services (Skype, Facebook, Twitter, Orkut, ...)Publish? Y/NDATE OF BIRTH (DD/MM/YYYY)PLACE OF BIRTHSince when have you been In Bangalore? (YYYY)If you are a Member of BPZA please enter the year? (YYYY)If you are a Member of BZA (Association) please enter the year? (YYYY)In what year was your Navjote performed? (YYYY)In which City was your Navjote performed?Date of Marriage (DD/MM/YYYY)Are you Behdin or Osta?Are you Veg. or Non-Veg?Blood GroupPublish? Y/NIf requested, would you be willing to donate blood?
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Please give us the details if three Bangalore Parsee Zoroastrians whom you know.
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