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(Entry in the Directory at Free of Cost)

Directory*
Category*
1) Name*
2) Age*
Date of Birth*
3) Qualification*
4) Native Place, Village, Panchayath/Town, District) *
5) Family Name *
6) Father’s Name *
Profession
7) Mother’s Name *
Profession
8) Your Hobbies
9) Specialized Field
10) Employment/Business details
a) Name of Present Co./Business
b) Position Held
c) No. of Years with this Company Business
11) Previous Companies with Positions if any
11) Previous Companies with Positions if any
a.
b.
c.
d.
e.
12) Achievements / Awards / Social Status in the field / market
13) Are you a member of any organization/Club and position held
14) Family details
a) Name of Wife/Husband
b) Profession
c) No. of Children
d) Son/Sons
1) Name
Education
Employment Details
2) Name
Education
Employment Details
3) Name
Education
Employment Details
e) Daughter/Daughters
e) Daughter/Daughters
1) Name
Education
Employment Details
2) Name
Education
Employment Details
3) Name
Education
Employment Details
15) Office Address
16) Present Address
17) Permanent Address
18) Phone (Office)
Fax
Res
Mob
Email
Web
19) Copy Directory required or not:
- Yes
- No
(If required please enclose cheque for 500/- drawn in favour of Malayalam media PUBLISHERS & DISTRIBUTORS)
20) Kindly give references of prominent personalities of your choice
21) Kindly give references of prominent personalities of your choice
a
NameMob
b
NameMob
c
NameMob
d
NameMob
e
NameMob
f
NameMob
g
NameMob
h
NameMob
i
NameMob
j
NameMob

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11) Previous Companies with Positions if any