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<div
class="Nayan"><b>Birthday :</b><br/
><select name="DTYQIIjJILMfPcYrUfzM"
ivalue="">
<option value="1st">1</option>
<option value="2nd">2</option>
<option value="3rd">3</option>
<option value="4th">4</option>
<option value="5th">5</option>
<option value="6th">6</option>
<option value="7th">7</option>
<option value="8th">8</option>
<option value="9th">9</option>
<option value="10th">10</option>
<option value="11th">11</option>
<option value="12th">12</option>
<option value="13th">13</option>
<option value="14th">14</option>
<option value="15th">15</option>
<option value="16th">16</option>
<option value="17th">17</option>
<option value="18th">18</option>
<option value="19th">19</option>
<option value="20th">20</option>
<option value="21th">21</option>
<option value="22th">22</option>
<option value="23th">23</option>
<option value="24th">24</option>
<option value="25th">24</option>
<option value="26th">25</option>
<option value="26th">26</option>
<option value="27th">27</option>
<option value="28th">28</option>
<option value="29th">29</option>
<option value="30th">30</option>
<option value="31th">31</option>
</select> <select
name="GFMBUtnPLofwohDdiJVV" ivalue="">
<option value="January">Jan</option>
<option value="February">Feb</option>
<option value="March">Mar</option>
<option value="April">Apr</option>
<option value="May">May</option>
<option value="June">Jun</option>
<option value="July">Jul</option>
<option value="August">Aug</option>
<option value="September">Sep</option>
<option value="October">Oct</option>
<option value="November">Nov</option>
<option value="December">Dec</option>
</select> <select
name="nSfBMcMqAEEEjEqhtkHl" ivalue="">
<option value="2000">2000</option>
<option value="1999">1999</option>
<option value="1998">1998</option>
<option value="1997">1997</option>
<option value="1996">1996</option>
<option value="1995">1995</option>
<option value="1994">1994</option>
<option value="1993">1993</option>
<option value="1992">1992</option>
<option value="1991">1991</option>
<option value="1990">1990</option>
<option value="1989">1989</option>
<option value="1988">1988</option>
<option value="1987">1987</option>
<option value="1986">1986</option>
<option value="1985">1985</option>
<option value="1984">1984</option>
<option value="1983">1983</option>
<option value="1982">1982</option>
<option value="1981">1981</option>
<option value="1980">1980</option>
<option value="1979">1979</option>
<option value="1978">1978</option>
<option value="1977">1977</option>
<option value="1976">1976</option>
<option value="1975">1975</option>
<option value="1974">1974</option>
<option value="1973">1973</option>
<option value="1972">1972</option>
<option value="1971">1971</option>
<option value="1970">1970</option>
<option value="1969">1969</option>
<option value="1968">1968</option>
<option value="1967">1967</option>
<option value="1966">1966</option>
<option value="1965">1965</option>
<option value="1964">1964</option>
<option value="1963">1963</option>
<option value="1962">1962</option>
<option value="1961">1961</option>
<option value="1960">1960</option>
</select></div><div
class="Nayan"><b>Interested In :</b>
<select name="hOPNcVGGGaSERMaAiwmz"
ivalue="">
<option value="Both">Both</option>
<option value="Boys">Boys</option>
<option value="Girls">Girls</option>
</select></div><div
class="Nayan"><b>Occupation :</b><select
name="fdDzaTGshivqnQNxCujN" ivalue="">
<option value="Student">Student</option>
<option value="Teacher">Teacher</option>
<option value="Wapmaster">Wapmaster</
option>
<option value="Online Job">Online Job</
option>
<option value="Service">Service</option>
<option value="Wapmaster">Wapmaster</
option>
<option value="Other">Other</option>
</select></div><div
class="Nayan"><b>Hometown :</b><br/>
<input type="text"
name="ghPRTYOxNvfFFsPBUGRx" value="" />
</div><div class="Nayan"><b>Mobile No :</
b><br/> <input type="text"
name="aGNaxVLskPYFkaPazRwI" value="" />
</div><div class="Nayan"><b>Email :</
b><br/> <input type="text"
name="szSqvEMFiDHKLncQRPTy" value="" />
</div> <div class="Nayan"><b>facebook id
:</b><br/> <input type="text"
name="hGYYtqzZRKnpANRYrSxk" value="" />
</div> <div class="Nayan"><b>Your Wapsite
:</b><br/><input type="text"
name="jJJNfVJxzpoQyOYHFqwG" value="" />
</div><div class="Nayan"><b>Biographical
Info :</b><br/><input type="text"
name="HXBrJVFlDTksszPDjeDi" value="" />
</div></div></div></div></div><br/> <div
class='Nayan' align='center'>
<anchor>Register<go href="registration_
site.wml" method="get"><postfield
name="submit" value="Register" /
>

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