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Birth Time

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Your Full Name

Postal Addresses

City

District

NIC

Phone

Marital Status

Number of Children

Child 1 Age

Child 2 Age

Child 3 Age

Child 4 Age

Child 5 Age

Children Living with
With Parents With Me Not With Me
Height

Weight

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Birth City

Highest Exams Passed

Other Courses

Languages Speak
Sinhala Tamil English Other
Job

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Salary (Rs)

Monthly Income from Business (Rs)

Monthly Income from Lands (Rs)

Monthly Income from Buildings (Rs)

Monthly Income from Other (Rs)

Deposited Money (Rs)

Do you like Binna Marriage

Do you Smoke/ Drink

Family Details

Father's Full Name

Mother's Full Name

Your position in the family

Assets Owned by you and parents
Land 1 (Perches):
Land 1 Perch Value (Rs):
Land 2 (Perches):
Land 2 Perch Value (Rs):
Land 3 (Perches):
Land 3 Perch Value (Rs):
Land 4 (Perches):
Land 4 Perch Value (Rs):
Land 5 (Perches):
Land 5 Perch Value (Rs):
House 1 Value (Rs):
House 2 Value (Rs):
House 3 Value (Rs):
House 4 Value (Rs):
Vehicles
3 Wheel Bacho Busses Cabs Cars Jeeps Lorry Motor Bicycles Tracktors Tripper Van Other
Total Vehicle Value

Other Assets
Buildings Business Deposited Money Fields Furniture House Houses Jewellery Lands Life Insurance Other Provident Fund Vehicles
Nationality
Burgher Malay Mixed-Race Moor Muslim Other Sinhalese Tamil

Religion
Buddhism Catholic Christianity Islam Hinduism Other

Caste
Bathgama Choliya Colombo Chetti Dewa Durava Govigama Hinna Hunu Karava Kubal Nekath Oli Other Panna Radala Rajaka Salagama Vishwa

Marital Status
Divorced Forgiveness Limited to Signature Never Married Other Planning to Devorce Separated Widowed

Full details about the partner expected


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A/C No. 0110-33523771-001
Account Name: Gowri Lanka Agencies

Pay at Commercial Bank
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A/C No. 1440044242
Account Name: Gowri Lanka Agencies

Pay by Cash/ Cheque

Visit our head office located below and pay by Cash/ Cheque (Cheque in favour of GOWRI LANKA AGENCIES).

GOWRI LANKA AGENCIES
No 38, Minuwangoda Road
Gampaha
Sri Lanka

Tel : 033-2227424, 033-2227148
Fax : 033-2227424


Money Orders
Money Orders

Money orders should be written to GOWRI LANKA AGENCIES and post your slip to the following address, for express money orders please call us and tell the number and your registered Username.

GOWRI LANKA AGENCIES
No 38, Minuwangoda Road
Gampaha
Sri Lanka

Tel : 033-2227424, 033-2227148
Fax : 033-2222929

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