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Form

Date of Birth
Day
Month
Year
Occupation
Business
Job in Private Company
Job in Government Company
Not Working
Marital Status
Divorced
Not Married
Widow
Annual Income
1 to 5 Lakh
5 to 10 Lakh
10 to 15 Lakh
15 to 20 Lakh
20 to 25 Lakh
25 to 30 Lakh
Above 30 Lakh
Not Specified
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