First Name                               Enter fname

Middle Name                          

Last Name                              

Date of Birth                           

Age                                         Enter age
               
 Blood Group                          Blood Group O+ O- B+ B- A+ A- AB+ AB-   bloodgroup

 Gender                                  Gender Male Female Others gender

Father's Name                        father's name

Mother's Name                      mother's name

Spouse                                 

Lineage                                 lineage Father mother Spouse Select lineage

Status                                   Status Student Working Homemaker Retired Infant Select status

House                                  House

Address                               Enter address

Current City                         Enter city

Current Country                   Enter country

Phone Number                     phonenumber

Contact Number                  contactnumber

Password                            Enter password

Retype Password                Password and retype not matching

Secret code                             Enter secretcode