CPVN CONNECT

Name	:	*
Father's/Husband's Name	:	*
Date of Birth	:	*
Gender	:	* Select Male Female
Class	:	*
Year of Passing	:	*
Upload Photo	:
Phone No. (With STD Code) & Mobile if any	:	*
WhatsApp No.	:	*
Permanent Address	:	*
Currunt Address	:	*
Email Id.	:	*

WORKING STATUS

BUSINESS(What is the Business name?)	:
What is the Business Location?	:
SERVICE (Company Name)	:
SERVICE (Department)	:
SERVICE (Designation)	:
SERVICE_Location	:
STUDYING (Course Name)	:
UNIVERSITY/COLLEGE NAME	:
LOCATION	:
WORKING STATUS	:	* Select YES NO