Registration Form



Welcome to SamastLohana Create your matrimonial profile to find your match. Please complete the form below to register your profile.
All (*) fields are mandatory

Login Details

*Email


*Password


*Confirm Password


Basic Details

*First Name


Middle Name


*Last Name


*Date Of Birth


Time OF Birth


*Place Of Birth


*Mother's Name


Mother's Father Name


Maternal Name


*Gender

*City

* Marital Status

*Address

*Complexion


*Eye

*Height


*Weight

Education And Occupational Attributes

*Education

Education Detail


College or University name

*Occupation


Occupation Details


Occupation Address

*Contect No


*Salary


Personal Details

*Father Occupation


*Mother Occupation

Father Occupation Address

*Contact No


*Father's Annual Income


*Type of Residence

Bunglow Row Houses
Flat        Tenament
Rent       Other

* Physical Status

Normal
Physically challenged

*Body Type

Slim Average Heavy

* Drinking

No Yes Occasionally

*Smoking

No Yes Occasionally

*Total Brother


Married Brother


Unmarried Brother


*Total Sister


Married Sister


Unmarried Sister


*Cast


Sub Cast


Mother Tongue


Believe in Horoscope?

No Yes

Graha

Mangal Shani Dont know

Rashi

* Maternal Surname


*Maternal Village


*Suitable time to call


*About MySelf


Important: Please do not enter
any contact information.

About My Partner


Important: Please do not enter
any contact information.

*Photograph