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Non Resident Keralite's Directory
Name
Place of work
Present Address
Home.......
House Name
Street
State / Province
Country
Postal / ZIP Code
Phone
Fax
E_mail
Web
Education
Select one
Post Graduation and above
Graduation
School/HSC
Other
Occupation
Select one
Executive/Management
Professional(Doctor/Engineer/Lawyer etc.)
Academic/Education
Software Professional
Accounting/Finance
Service/Customer Support
Clerical/Administrative
Sales/Marketing
Tradesman/Craftsman
Student
Self Employed
Retired
Unemployed
Other
Address in Kerala
(with Pin Code)
Phone
No. of years as a Non-Resident Keralite
Select one
Less than 1 year
1-5 years
5-10 years
10-20 years
20-30 years
More than 30 years
Is your family staying along with you ?
Yes
No
How often do you visit Kerala ?
Select one
Less than 1 year
Every year
2 years
3-5 years
6-10 years
Above 10 years
Average duration of your stay in Kerala
Select one
Less than 30 days
30-60 days
60-90 days
90-120 days
120-180 days
More than 180 days
(Please enter the details and submit. '*' are mandatory)
District in Kerala
Select one
Alappuzha
Ernakulam
Idukki
Kannur
Kasaragod
Kollam
Kottayam
Kozhikode
Malappuram
Palakkad
Pathanamthitta
Thiruvananthapuram
Thrissur
Wayanad
Your Passport Number
Mobile
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