{"id":10346,"date":"2025-04-19T17:24:36","date_gmt":"2025-04-19T17:24:36","guid":{"rendered":"https:\/\/kalyanlohanamahajan.in\/?page_id=10346"},"modified":"2025-04-19T18:06:55","modified_gmt":"2025-04-19T18:06:55","slug":"vastipatrak-form","status":"publish","type":"page","link":"https:\/\/kalyanlohanamahajan.in\/gu\/vastipatrak-form","title":{"rendered":"VastiPatrak Form"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"10346\" class=\"elementor elementor-10346\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b142faf e-flex e-con-boxed e-con e-parent\" data-id=\"b142faf\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-164b083 elementor-widget elementor-widget-shortcode\" data-id=\"164b083\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f10352-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"10352\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/gu\/wp-json\/wp\/v2\/pages\/10346#wpcf7-f10352-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\" data-trp-original-action=\"\/gu\/wp-json\/wp\/v2\/pages\/10346#wpcf7-f10352-o1\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"10352\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.0.6\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f10352-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<div class=\"uacf7-form-10352\"><div class='row'>\n\t<div class='wgl_col-4'>\n\t\t<label>Email ID <span class=\"main-color\">*<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" autocomplete=\"email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span> <\/label>\n\t<\/div>\n<\/div>\n\n<div class='row'>\n\t<div class='wgl_col-4'>\n\t\t<label>First Name <span class=\"main-color\">*<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"first-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"first-name\" \/><\/span> <\/label>\n\t<\/div>\n\t<div class='wgl_col-4'>\n\t\t<label>Last Name <span class=\"main-color\">*<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"last-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"last-name\" \/><\/span> <\/label>\n\t<\/div>\n\t<div class='wgl_col-4'>\n\t\t<label>Father \/ Husband's Name <span class=\"main-color\">*<\/span>  <span class=\"wpcf7-form-control-wrap\" data-name=\"father-husband-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"father-husband-name\" \/><\/span><\/label>\n\t<\/div>\n<\/div>\n\n<div class='row'>\n\t<div class='wgl_col-4'>\n\t\t<label class=\"t-area\">Complete Address <span class=\"main-color\">*<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"address\"><textarea cols=\"10\" rows=\"1\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"address\"><\/textarea><\/span><\/label>\n\t<\/div>\n\t<div class='wgl_col-4'>\n\t\t<label> Gender <span class=\"main-color\">*<\/span> <\/label> <span class=\"wpcf7-form-control-wrap\" data-name=\"gender\"><span class=\"wpcf7-form-control wpcf7-radio gender-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"gender\" value=\"Male\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Male<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"gender\" value=\"Female\" \/><span class=\"wpcf7-list-item-label\">Female<\/span><\/label><\/span><\/span><\/span><\/label>\n\t<\/div>\n\t<div class='wgl_col-4'>\n\t\t<label>Maternal Surname <span class=\"main-color\">*<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"maternal-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"maternal-name\" \/><\/span><\/label>\n\t<\/div>\n<\/div>\n\n<div class='row'>\n\t\n\t<div class='wgl_col-4'>\n\t\t<label>Hometown <span class=\"main-color\">*<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"home-town\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"home-town\" \/><\/span> <\/label>\n\t<\/div>\n\t<div class='wgl_col-4'>\n\t\t<label> Date Of Birth <span class=\"main-color\">*<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"dob\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" id=\"dob\" aria-required=\"true\" aria-invalid=\"false\" value=\"1983-12-26\" type=\"date\" name=\"dob\" \/><\/span> <\/label>\n\t<\/div>\n\t<div class='wgl_col-4'>\n\t\t<label> Relation with Head of the family <span class=\"main-color\">*<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"relation\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"relation\"><option value=\"Head of the family\">Head of the family<\/option><option value=\"Grandfather\">Grandfather<\/option><option value=\"Grandmother\">Grandmother<\/option><option value=\"Father\">Father<\/option><option value=\"Mother\">Mother<\/option><option value=\"Father in law\">Father in law<\/option><option value=\"Mother in law\">Mother in law<\/option><option value=\"Husband\">Husband<\/option><option value=\"Wife\">Wife<\/option><option value=\"Spouse\">Spouse<\/option><option value=\"Son\">Son<\/option><option value=\"Daughter\">Daughter<\/option><option value=\"Daughter in law\">Daughter in law<\/option><option value=\"Sister in law\">Sister in law<\/option><option value=\"Grandson\">Grandson<\/option><option value=\"Granddaughter\">Granddaughter<\/option><option value=\"Grandson&#039;s Son\">Grandson&#039;s Son<\/option><option value=\"Grandson&#039;s Daughter\">Grandson&#039;s Daughter<\/option><\/select><\/span> <\/label>\n\t<\/div>\n<\/div>\n\n<div class='row'>\n\t\n\t<div class='wgl_col-4'>\n\t\t<label> Marital Status <span class=\"main-color\">*<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"marital-status\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" id=\"marital-status\" aria-required=\"true\" aria-invalid=\"false\" name=\"marital-status\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"Single\">Single<\/option><option value=\"Married\">Married<\/option><option value=\"Seperated\">Seperated<\/option><option value=\"Divorced\">Divorced<\/option><option value=\"Widowed\">Widowed<\/option><\/select><\/span> <\/label>\n\t<\/div>\n\t<div class='wgl_col-4'>\n\t\t<label>Education <span class=\"main-color\">*<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"education\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"education\" \/><\/span> <\/label>\n\t<\/div>\n\t<div class='wgl_col-4'>\n\t\t<label> Occupation <span class=\"main-color\">*<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"Occupation\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"Occupation\"><option value=\"Business\">Business<\/option><option value=\"Service\">Service<\/option><option value=\"Student\">Student<\/option><option value=\"Housewife\">Housewife<\/option><option value=\"Other\">Other<\/option><\/select><\/span> <\/label>\n\t<\/div>\n<\/div>\n\n<div class='row'>\n\t\n\t<div class='wgl_col-4'>\n\t\t<label>Occupation Details <span class=\"wpcf7-form-control-wrap\" data-name=\"occupation-details\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"occupation-details\" \/><\/span> <\/label>\n\t<\/div>\n\t<div class='wgl_col-4'>\n\t\t<label>Mobile \/ WhatsApp Number <span class=\"main-color\">*<\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"mobile\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" id=\"mobile\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"mobile\" \/><\/span> <\/label>\n\t<\/div>\n\t<div class='wgl_col-4'>\n\t\t<label> Blood Group <span class=\"wpcf7-form-control-wrap\" data-name=\"blood-group\"><select class=\"wpcf7-form-control wpcf7-select\" id=\"blood-group\" aria-invalid=\"false\" name=\"blood-group\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"A+\">A+<\/option><option value=\"A-\">A-<\/option><option value=\"B+\">B+<\/option><option value=\"B+\">B+<\/option><option value=\"O+\">O+<\/option><option value=\"O-\">O-<\/option><option value=\"AB+\">AB+<\/option><option value=\"AB-\">AB-<\/option><\/select><\/span> <\/label>\n\t<\/div>\n<\/div>\n<div class='row'>\n\t<div class='wgl_col-4'>\n\t\t<label>Mahajan Life Membership Number <span class=\"wpcf7-form-control-wrap\" data-name=\"mmid\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"mmid\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"mmid\" \/><\/span> <\/label>\n\t<\/div>\n<\/div>\n\n<div class='row'>\n<div class='wgl_col-4'>\n\t\t<input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit\" \/>\n\t<\/div>\n<\/div><\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<input type=\"hidden\" name=\"trp-form-language\" value=\"gu\"\/><\/form>\n<\/div>\n<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"give_campaign_id":0,"footnotes":""},"class_list":["post-10346","page","type-page","status-publish","hentry"],"campaignId":"","_links":{"self":[{"href":"https:\/\/kalyanlohanamahajan.in\/gu\/wp-json\/wp\/v2\/pages\/10346","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kalyanlohanamahajan.in\/gu\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/kalyanlohanamahajan.in\/gu\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/kalyanlohanamahajan.in\/gu\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kalyanlohanamahajan.in\/gu\/wp-json\/wp\/v2\/comments?post=10346"}],"version-history":[{"count":7,"href":"https:\/\/kalyanlohanamahajan.in\/gu\/wp-json\/wp\/v2\/pages\/10346\/revisions"}],"predecessor-version":[{"id":10355,"href":"https:\/\/kalyanlohanamahajan.in\/gu\/wp-json\/wp\/v2\/pages\/10346\/revisions\/10355"}],"wp:attachment":[{"href":"https:\/\/kalyanlohanamahajan.in\/gu\/wp-json\/wp\/v2\/media?parent=10346"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}