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<h1 class="title">Partner expectation</h1>
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Partner expectation
</div>
</div>
<h3>Partner expectation</h3>
<form name="checkout" method="post" class="checkout row box-shadow1" action="<?=base_url('partnerexpectation');?>">
<div class="row">
<div class="col-sm-6">
<p class="checkout-form">
<label>GENERAL REQUIREMENT <abbr class="required" title="required">*</abbr></label>
<input required type="text" class="input-text" name="perm_general_requir" placeholder="GENERAL REQUIREMENT" value="">
</p>
</div>
<div class="col-sm-6">
<p class="checkout-form">
<label>AGE <abbr class="required" title="required">*</abbr></label>
<input required type="text" class="input-text" name="perm_age" placeholder="AGE" value="">
</p>
</div>
<div class="col-sm-6">
<p class="checkout-form">
<label>FATHER'S OCCUPATION <abbr class="required" required title="required">*</abbr></label>
<input type="text" class="input-text" name="perm_father_occup" placeholder="FATHER'S OCCUPATION" value="">
</p>
</div>
<div class="col-sm-6">
<p class="checkout-form">
<label>SPECIAL CIRCUMSTANCES <abbr class="required" title="required">*</abbr></label>
<input required type="text" class="input-text" name="perm_special_cir" placeholder="SPECIAL CIRCUMSTANCES" value="">
</p>
</div>
<div class="col-sm-6">
<p class="checkout-form">
<label>MARITAL STATUS <abbr class="required" title="required">*</abbr></label>
<select required name="perm_marital_status" class="country_to_state country_select" tabindex="-1" aria-hidden="true">
<option value="">Choose one…</option>
<option value="Never Married">Never Married</option>
<option value="Married">Married</option>
<option value="Divorced ">Divorced </option>
<option value="Widowed">Widowed</option>
</select>
</p>
</div>
<div class="col-sm-6">
<p class="checkout-form">
<label>WITH CHILDREN ACCEPTABLES <abbr class="required" title="required">*</abbr></label>
<select name="perm_children_accep" class="country_to_state country_select" tabindex="-1" aria-hidden="true">
<option value="">Choose one…</option>
<option value="Yes">Yes</option>
<option value="No">No</option>
<option value="Don't Matter">Don't Matter</option>
</select>
</p>
</div>
<div class="col-sm-6">
<p class="checkout-form">
<label>COUNTRY OF RESIDENCE <abbr class="required" title="required">*</abbr></label>
<select name="perm_country_of_residency" class="country_to_state country_select" tabindex="-1" aria-hidden="true">
<option value="">Choose one…</option>
<option value="1">Afghanistan</option>
<option value="2">Albania</option>
<option value="3">Algeria</option>
<option value="4">American Samoa</option>
<option value="5">Andorra</option>
<option value="6">Angola</option>
<option value="7">Anguilla</option>
<option value="8">Antarctica</option>
<option value="9">Antigua And Barbuda</option>
<option value="10">Argentina</option>
<option value="11">Armenia</option>
<option value="12">Aruba</option>
<option value="13">Australia</option>
<option value="14">Austria</option>
<option value="15">Azerbaijan</option>
<option value="16">Bahamas The</option>
<option value="17">Bahrain</option>
<option value="18">Bangladesh</option>
<option value="19">Barbados</option>
<option value="20">Belarus</option>
<option value="21">Belgium</option>
<option value="22">Belize</option>
<option value="23">Benin</option>
<option value="24">Bermuda</option>
<option value="25">Bhutan</option>
<option value="26">Bolivia</option>
<option value="27">Bosnia and Herzegovina</option>
<option value="28">Botswana</option>
<option value="29">Bouvet Island</option>
<option value="30">Brazil</option>
<option value="31">British Indian Ocean Territory</option>
<option value="32">Brunei</option>
<option value="33">Bulgaria</option>
<option value="34">Burkina Faso</option>
<option value="35">Burundi</option>
<option value="36">Cambodia</option>
<option value="37">Cameroon</option>
<option value="38">Canada</option>
<option value="39">Cape Verde</option>
<option value="40">Cayman Islands</option>
<option value="41">Central African Republic</option>
<option value="42">Chad</option>
<option value="43">Chile</option>
<option value="44">China</option>
<option value="45">Christmas Island</option>
<option value="46">Cocos (Keeling) Islands</option>
<option value="47">Colombia</option>
<option value="48">Comoros</option>
<option value="49">Republic Of The Congo</option>
<option value="50">Democratic Republic Of The Congo</option>
<option value="51">Cook Islands</option>
<option value="52">Costa Rica</option>
<option value="53">Cote D'Ivoire (Ivory Coast)</option>
<option value="54">Croatia (Hrvatska)</option>
<option value="55">Cuba</option>
<option value="56">Cyprus</option>
<option value="57">Czech Republic</option>
<option value="58">Denmark</option>
<option value="59">Djibouti</option>
<option value="60">Dominica</option>
<option value="61">Dominican Republic</option>
<option value="62">East Timor</option>
<option value="63">Ecuador</option>
<option value="64">Egypt</option>
<option value="65">El Salvador</option>
<option value="66">Equatorial Guinea</option>
<option value="67">Eritrea</option>
<option value="68">Estonia</option>
<option value="69">Ethiopia</option>
<option value="70">External Territories of Australia</option>
<option value="71">Falkland Islands</option>
<option value="72">Faroe Islands</option>
<option value="73">Fiji Islands</option>
<option value="74">Finland</option>
<option value="75">France</option>
<option value="76">French Guiana</option>
<option value="77">French Polynesia</option>
<option value="78">French Southern Territories</option>
<option value="79">Gabon</option>
<option value="80">Gambia The</option>
<option value="81">Georgia</option>
<option value="82">Germany</option>
<option value="83">Ghana</option>
<option value="84">Gibraltar</option>
<option value="85">Greece</option>
<option value="86">Greenland</option>
<option value="87">Grenada</option>
<option value="88">Guadeloupe</option>
<option value="89">Guam</option>
<option value="90">Guatemala</option>
<option value="91">Guernsey and Alderney</option>
<option value="92">Guinea</option>
<option value="93">Guinea-Bissau</option>
<option value="94">Guyana</option>
<option value="95">Haiti</option>
<option value="96">Heard and McDonald Islands</option>
<option value="97">Honduras</option>
<option value="98">Hong Kong S.A.R.</option>
<option value="99">Hungary</option>
<option value="100">Iceland</option>
<option value="101">India</option>
<option value="102">Indonesia</option>
<option value="103">Iran</option>
<option value="104">Iraq</option>
<option value="105">Ireland</option>
<option value="106">Israel</option>
<option value="107">Italy</option>
<option value="108">Jamaica</option>
<option value="109">Japan</option>
<option value="110">Jersey</option>
<option value="111">Jordan</option>
<option value="112">Kazakhstan</option>
<option value="113">Kenya</option>
<option value="114">Kiribati</option>
<option value="115">Korea North</option>
<option value="116">Korea South</option>
<option value="117">Kuwait</option>
<option value="118">Kyrgyzstan</option>
<option value="119">Laos</option>
<option value="120">Latvia</option>
<option value="121">Lebanon</option>
<option value="122">Lesotho</option>
<option value="123">Liberia</option>
<option value="124">Libya</option>
<option value="125">Liechtenstein</option>
<option value="126">Lithuania</option>
<option value="127">Luxembourg</option>
<option value="128">Macau S.A.R.</option>
<option value="129">Macedonia</option>
<option value="130">Madagascar</option>
<option value="131">Malawi</option>
<option value="132">Malaysia</option>
<option value="133">Maldives</option>
<option value="134">Mali</option>
<option value="135">Malta</option>
<option value="136">Man (Isle of)</option>
<option value="137">Marshall Islands</option>
<option value="138">Martinique</option>
<option value="139">Mauritania</option>
<option value="140">Mauritius</option>
<option value="141">Mayotte</option>
<option value="142">Mexico</option>
<option value="143">Micronesia</option>
<option value="144">Moldova</option>
<option value="145">Monaco</option>
<option value="146">Mongolia</option>
<option value="147">Montserrat</option>
<option value="148">Morocco</option>
<option value="149">Mozambique</option>
<option value="150">Myanmar</option>
<option value="151">Namibia</option>
<option value="152">Nauru</option>
<option value="153">Nepal</option>
<option value="154">Netherlands Antilles</option>
<option value="155">Netherlands The</option>
<option value="156">New Caledonia</option>
<option value="157">New Zealand</option>
<option value="158">Nicaragua</option>
<option value="159">Niger</option>
<option value="160">Nigeria</option>
<option value="161">Niue</option>
<option value="162">Norfolk Island</option>
<option value="163">Northern Mariana Islands</option>
<option value="164">Norway</option>
<option value="165">Oman</option>
<option value="166">Pakistan</option>
<option value="167">Palau</option>
<option value="168">Palestinian Territory Occupied</option>
<option value="169">Panama</option>
<option value="170">Papua new Guinea</option>
<option value="171">Paraguay</option>
<option value="172">Peru</option>
<option value="173">Philippines</option>
<option value="174">Pitcairn Island</option>
<option value="175">Poland</option>
<option value="176">Portugal</option>
<option value="177">Puerto Rico</option>
<option value="178">Qatar</option>
<option value="179">Reunion</option>
<option value="180">Romania</option>
<option value="181">Russia</option>
<option value="182">Rwanda</option>
<option value="183">Saint Helena</option>
<option value="184">Saint Kitts And Nevis</option>
<option value="185">Saint Lucia</option>
<option value="186">Saint Pierre and Miquelon</option>
<option value="187">Saint Vincent And The Grenadines</option>
<option value="188">Samoa</option>
<option value="189">San Marino</option>
<option value="190">Sao Tome and Principe</option>
<option value="191">Saudi Arabia</option>
<option value="192">Senegal</option>
<option value="193">Serbia</option>
<option value="194">Seychelles</option>
<option value="195">Sierra Leone</option>
<option value="196">Singapore</option>
<option value="197">Slovakia</option>
<option value="198">Slovenia</option>
<option value="199">Smaller Territories of the UK</option>
<option value="200">Solomon Islands</option>
<option value="201">Somalia</option>
<option value="202">South Africa</option>
<option value="203">South Georgia</option>
<option value="204">South Sudan</option>
<option value="205">Spain</option>
<option value="206">Sri Lanka</option>
<option value="207">Sudan</option>
<option value="208">Suriname</option>
<option value="209">Svalbard And Jan Mayen Islands</option>
<option value="210">Swaziland</option>
<option value="211">Sweden</option>
<option value="212">Switzerland</option>
<option value="213">Syria</option>
<option value="214">Taiwan</option>
<option value="215">Tajikistan</option>
<option value="216">Tanzania</option>
<option value="217">Thailand</option>
<option value="218">Togo</option>
<option value="219">Tokelau</option>
<option value="220">Tonga</option>
<option value="221">Trinidad And Tobago</option>
<option value="222">Tunisia</option>
<option value="223">Turkey</option>
<option value="224">Turkmenistan</option>
<option value="225">Turks And Caicos Islands</option>
<option value="226">Tuvalu</option>
<option value="227">Uganda</option>
<option value="228">Ukraine</option>
<option value="229">United Arab Emirates</option>
<option value="230">United Kingdom</option>
<option value="231">United States</option>
<option value="232">United States Minor Outlying Islands</option>
<option value="233">Uruguay</option>
<option value="234">Uzbekistan</option>
<option value="235">Vanuatu</option>
<option value="236">Vatican City State (Holy See)</option>
<option value="237">Venezuela</option>
<option value="238">Vietnam</option>
<option value="239">Virgin Islands (British)</option>
<option value="240">Virgin Islands (US)</option>
<option value="241">Wallis And Futuna Islands</option>
<option value="242">Western Sahara</option>
<option value="243">Yemen</option>
<option value="244">Yugoslavia</option>
<option value="245">Zambia</option>
<option value="246">Zimbabwe</option>
</select>
</p>
</div>
<div class="col-sm-6">
<p class="checkout-form">
<label>RELIGION <abbr class="required" title="required">*</abbr></label>
<select name="perm_religion" class="country_to_state country_select" tabindex="-1" aria-hidden="true">
<option value="">Choose one…</option>
<option value="Hindu">Hindu</option>
<option value="Muslim - Shia">Muslim - Shia</option>
<option value="Christian">Christian</option>
<option value="Atheism">Atheism</option>
<option value="Sikh">Sikh</option>
<option value="Sikhism">Sikhism</option>
<option value="Jain">Jain</option>
</select>
</p>
</div>
<div class="col-sm-6">
<p class="checkout-form">
<label>CASTE <abbr class="required" title="required">*</abbr></label>
<select name="perm_cast" id="perm_cast11" class="country_to_state country_select" tabindex="-1" aria-hidden="true">
<option value="">Choose one…</option>
<option value="Levites">Levites</option>
<option value="Israelites (Yisraelim)">Israelites (Yisraelim)</option>
<option value="Baniya">Baniya</option>
<option value="Agarwal">Agarwal</option>
<option value="Jain">Jain</option>
<option value="Maheshwari">Maheshwari</option>
<option value="Brahmain">Brahmain</option>
<option value="Khandelwal">Khandelwal</option>
<option value="Agarwal Jain">Agarwal Jain</option>
<option value="Punjabi - Khatri">Punjabi - Khatri</option>
<option value="Marwari">Marwari</option>
<option value="Vaishnav">Vaishnav</option>
<option value="Other">Other</option>
</select>
</p>
</div>
<div class="col-sm-6" style="display:none;" id="perm_othercast11">
<p class="checkout-form">
<label>Other Cast <abbr class="required" title="required">*</abbr></label>
<input type="text" class="input-text" name="perm_othercast11" placeholder="Other Cast" value="">
</p>
</div>
<div class="col-sm-6" style="display:none;">
<p class="checkout-form">
<label>SUB CASTE <abbr class="required" title="required">*</abbr></label>
<select name="perm_subcast" class="country_to_state country_select" tabindex="-1" aria-hidden="true">
<option value="">Choose one…</option>
<option value="Eshkashem">Eshkashem</option>
<option value="Fayzabad">Fayzabad</option>
</select>
</p>
</div>
<div class="col-sm-6">
<p class="checkout-form">
<label>EDUCATION <abbr class="required" title="required">*</abbr></label>
<input type="text" class="input-text" name="perm_education" placeholder="EDUCATION" value="">
</p>
</div>
<div class="col-sm-6">
<p class="checkout-form">
<label>PROFESSION <abbr class="required" title="required">*</abbr></label>
<input type="text" class="input-text" name="perm_profession" placeholder="PROFESSION" value="">
</p>
</div>
<div class="col-sm-6">
<p class="checkout-form">
<label>DRINKING HABITS <abbr class="required" title="required">*</abbr></label>
<select name="perm_drinking_habits" class="country_to_state country_select" tabindex="-1" aria-hidden="true">
<option value="">Choose one…</option>
<option value="Yes">Yes</option>
<option value="NO">NO</option>
<option value="Doesn't Matter">Doesn't Matter</option>
</select>
</p>
</div>
<div class="col-sm-6">
<p class="checkout-form">
<label>SMOKING HABITS <abbr class="required" title="required">*</abbr></label>
<select name="perm_smoking_habits" class="country_to_state country_select" tabindex="-1" aria-hidden="true">
<option value="">Choose one…</option>
<option value="Yes">Yes</option>
<option value="NO">NO</option>
<option value="Doesn't Matter">Doesn't Matter</option>
</select>
</p>
</div>
<div class="col-sm-6">
<p class="checkout-form">
<label>DIET <abbr class="required" title="required">*</abbr></label>
<input type="text" class="input-text" name="perm_diet" placeholder="DIET" value="">
</p>
</div>
<div class="col-sm-6">
<p class="checkout-form">
<label>BODY TYPE <abbr class="required" title="required">*</abbr></label>
<input type="text" class="input-text" name="perm_body_type" placeholder="BODY TYPE" value="">
</p>
</div>
<div class="col-sm-6">
<p class="checkout-form">
<label>PERSONAL VALUE <abbr class="required" title="required">*</abbr></label>
<input type="text" class="input-text" name="perm_personal_value" placeholder="PERSONAL VALUE" value="">
</p>
</div>
<div class="col-sm-6">
<p class="checkout-form">
<label>MANGLIK <abbr class="required" title="required">*</abbr></label>
<select name="perm_manglik" class="country_to_state country_select" tabindex="-1" aria-hidden="true">
<option value="">Choose one…</option>
<option value="Yes">Yes</option>
<option value="No">No</option>
<option value="I don't know">I don't know</option>
</select>
</p>
</div>
<div class="col-sm-6">
<p class="checkout-form">
<label>ANY DISABILITY <abbr class="required" title="required">*</abbr></label>
<input type="text" class="input-text" name="perm_any_disability" placeholder="ANY DISABILITY" value="">
</p>
</div>
<div class="col-sm-6">
<p class="checkout-form">
<label>MOTHER TONGUE <abbr class="required" title="required">*</abbr></label>
<select name="perm_mother_tongue" class="country_to_state country_select" tabindex="-1" aria-hidden="true">
<option value="">Choose one…</option>
<option value="Bengali">Bengali</option>
<option value="Gujrati">Gujrati</option>
<option value="Hindi">Hindi</option>
<option value="Kannada">Kannada</option>
<option value="Malayalam">Malayalam</option>
<option value="Marathi">Marathi</option>
<option value="Marwari">Marwari</option>
<option value="Oriya">Oriya</option>
<option value="Punjabi">Punjabi</option>
</select>
</p>
</div>
<div class="col-sm-6">
<p class="checkout-form">
<label>FAMILY VALUE <abbr class="required" title="required">*</abbr></label>
<input type="text" class="input-text" name="perm_family_value" placeholder="FAMILY VALUE" value="">
</p>
</div>
<div class="col-sm-6">
<p class="checkout-form">
<label>PREFERED COUNTRY <abbr class="required" title="required">*</abbr></label>
<select name="perm_prefered_country" onclick="getstate1(this.value)" class="country_to_state country_select" tabindex="-1" aria-hidden="true">
<option value="1">Afghanistan</option>
<option value="2">Albania</option>
<option value="3">Algeria</option>
<option value="4">American Samoa</option>
<option value="5">Andorra</option>
<option value="6">Angola</option>
<option value="7">Anguilla</option>
<option value="8">Antarctica</option>
<option value="9">Antigua And Barbuda</option>
<option value="10">Argentina</option>
<option value="11">Armenia</option>
<option value="12">Aruba</option>
<option value="13">Australia</option>
<option value="14">Austria</option>
<option value="15">Azerbaijan</option>
<option value="16">Bahamas The</option>
<option value="17">Bahrain</option>
<option value="18">Bangladesh</option>
<option value="19">Barbados</option>
<option value="20">Belarus</option>
<option value="21">Belgium</option>
<option value="22">Belize</option>
<option value="23">Benin</option>
<option value="24">Bermuda</option>
<option value="25">Bhutan</option>
<option value="26">Bolivia</option>
<option value="27">Bosnia and Herzegovina</option>
<option value="28">Botswana</option>
<option value="29">Bouvet Island</option>
<option value="30">Brazil</option>
<option value="31">British Indian Ocean Territory</option>
<option value="32">Brunei</option>
<option value="33">Bulgaria</option>
<option value="34">Burkina Faso</option>
<option value="35">Burundi</option>
<option value="36">Cambodia</option>
<option value="37">Cameroon</option>
<option value="38">Canada</option>
<option value="39">Cape Verde</option>
<option value="40">Cayman Islands</option>
<option value="41">Central African Republic</option>
<option value="42">Chad</option>
<option value="43">Chile</option>
<option value="44">China</option>
<option value="45">Christmas Island</option>
<option value="46">Cocos (Keeling) Islands</option>
<option value="47">Colombia</option>
<option value="48">Comoros</option>
<option value="49">Republic Of The Congo</option>
<option value="50">Democratic Republic Of The Congo</option>
<option value="51">Cook Islands</option>
<option value="52">Costa Rica</option>
<option value="53">Cote D'Ivoire (Ivory Coast)</option>
<option value="54">Croatia (Hrvatska)</option>
<option value="55">Cuba</option>
<option value="56">Cyprus</option>
<option value="57">Czech Republic</option>
<option value="58">Denmark</option>
<option value="59">Djibouti</option>
<option value="60">Dominica</option>
<option value="61">Dominican Republic</option>
<option value="62">East Timor</option>
<option value="63">Ecuador</option>
<option value="64">Egypt</option>
<option value="65">El Salvador</option>
<option value="66">Equatorial Guinea</option>
<option value="67">Eritrea</option>
<option value="68">Estonia</option>
<option value="69">Ethiopia</option>
<option value="70">External Territories of Australia</option>
<option value="71">Falkland Islands</option>
<option value="72">Faroe Islands</option>
<option value="73">Fiji Islands</option>
<option value="74">Finland</option>
<option value="75">France</option>
<option value="76">French Guiana</option>
<option value="77">French Polynesia</option>
<option value="78">French Southern Territories</option>
<option value="79">Gabon</option>
<option value="80">Gambia The</option>
<option value="81">Georgia</option>
<option value="82">Germany</option>
<option value="83">Ghana</option>
<option value="84">Gibraltar</option>
<option value="85">Greece</option>
<option value="86">Greenland</option>
<option value="87">Grenada</option>
<option value="88">Guadeloupe</option>
<option value="89">Guam</option>
<option value="90">Guatemala</option>
<option value="91">Guernsey and Alderney</option>
<option value="92">Guinea</option>
<option value="93">Guinea-Bissau</option>
<option value="94">Guyana</option>
<option value="95">Haiti</option>
<option value="96">Heard and McDonald Islands</option>
<option value="97">Honduras</option>
<option value="98">Hong Kong S.A.R.</option>
<option value="99">Hungary</option>
<option value="100">Iceland</option>
<option value="101">India</option>
<option value="102">Indonesia</option>
<option value="103">Iran</option>
<option value="104">Iraq</option>
<option value="105">Ireland</option>
<option value="106">Israel</option>
<option value="107">Italy</option>
<option value="108">Jamaica</option>
<option value="109">Japan</option>
<option value="110">Jersey</option>
<option value="111">Jordan</option>
<option value="112">Kazakhstan</option>
<option value="113">Kenya</option>
<option value="114">Kiribati</option>
<option value="115">Korea North</option>
<option value="116">Korea South</option>
<option value="117">Kuwait</option>
<option value="118">Kyrgyzstan</option>
<option value="119">Laos</option>
<option value="120">Latvia</option>
<option value="121">Lebanon</option>
<option value="122">Lesotho</option>
<option value="123">Liberia</option>
<option value="124">Libya</option>
<option value="125">Liechtenstein</option>
<option value="126">Lithuania</option>
<option value="127">Luxembourg</option>
<option value="128">Macau S.A.R.</option>
<option value="129">Macedonia</option>
<option value="130">Madagascar</option>
<option value="131">Malawi</option>
<option value="132">Malaysia</option>
<option value="133">Maldives</option>
<option value="134">Mali</option>
<option value="135">Malta</option>
<option value="136">Man (Isle of)</option>
<option value="137">Marshall Islands</option>
<option value="138">Martinique</option>
<option value="139">Mauritania</option>
<option value="140">Mauritius</option>
<option value="141">Mayotte</option>
<option value="142">Mexico</option>
<option value="143">Micronesia</option>
<option value="144">Moldova</option>
<option value="145">Monaco</option>
<option value="146">Mongolia</option>
<option value="147">Montserrat</option>
<option value="148">Morocco</option>
<option value="149">Mozambique</option>
<option value="150">Myanmar</option>
<option value="151">Namibia</option>
<option value="152">Nauru</option>
<option value="153">Nepal</option>
<option value="154">Netherlands Antilles</option>
<option value="155">Netherlands The</option>
<option value="156">New Caledonia</option>
<option value="157">New Zealand</option>
<option value="158">Nicaragua</option>
<option value="159">Niger</option>
<option value="160">Nigeria</option>
<option value="161">Niue</option>
<option value="162">Norfolk Island</option>
<option value="163">Northern Mariana Islands</option>
<option value="164">Norway</option>
<option value="165">Oman</option>
<option value="166">Pakistan</option>
<option value="167">Palau</option>
<option value="168">Palestinian Territory Occupied</option>
<option value="169">Panama</option>
<option value="170">Papua new Guinea</option>
<option value="171">Paraguay</option>
<option value="172">Peru</option>
<option value="173">Philippines</option>
<option value="174">Pitcairn Island</option>
<option value="175">Poland</option>
<option value="176">Portugal</option>
<option value="177">Puerto Rico</option>
<option value="178">Qatar</option>
<option value="179">Reunion</option>
<option value="180">Romania</option>
<option value="181">Russia</option>
<option value="182">Rwanda</option>
<option value="183">Saint Helena</option>
<option value="184">Saint Kitts And Nevis</option>
<option value="185">Saint Lucia</option>
<option value="186">Saint Pierre and Miquelon</option>
<option value="187">Saint Vincent And The Grenadines</option>
<option value="188">Samoa</option>
<option value="189">San Marino</option>
<option value="190">Sao Tome and Principe</option>
<option value="191">Saudi Arabia</option>
<option value="192">Senegal</option>
<option value="193">Serbia</option>
<option value="194">Seychelles</option>
<option value="195">Sierra Leone</option>
<option value="196">Singapore</option>
<option value="197">Slovakia</option>
<option value="198">Slovenia</option>
<option value="199">Smaller Territories of the UK</option>
<option value="200">Solomon Islands</option>
<option value="201">Somalia</option>
<option value="202">South Africa</option>
<option value="203">South Georgia</option>
<option value="204">South Sudan</option>
<option value="205">Spain</option>
<option value="206">Sri Lanka</option>
<option value="207">Sudan</option>
<option value="208">Suriname</option>
<option value="209">Svalbard And Jan Mayen Islands</option>
<option value="210">Swaziland</option>
<option value="211">Sweden</option>
<option value="212">Switzerland</option>
<option value="213">Syria</option>
<option value="214">Taiwan</option>
<option value="215">Tajikistan</option>
<option value="216">Tanzania</option>
<option value="217">Thailand</option>
<option value="218">Togo</option>
<option value="219">Tokelau</option>
<option value="220">Tonga</option>
<option value="221">Trinidad And Tobago</option>
<option value="222">Tunisia</option>
<option value="223">Turkey</option>
<option value="224">Turkmenistan</option>
<option value="225">Turks And Caicos Islands</option>
<option value="226">Tuvalu</option>
<option value="227">Uganda</option>
<option value="228">Ukraine</option>
<option value="229">United Arab Emirates</option>
<option value="230">United Kingdom</option>
<option value="231">United States</option>
<option value="232">United States Minor Outlying Islands</option>
<option value="233">Uruguay</option>
<option value="234">Uzbekistan</option>
<option value="235">Vanuatu</option>
<option value="236">Vatican City State (Holy See)</option>
<option value="237">Venezuela</option>
<option value="238">Vietnam</option>
<option value="239">Virgin Islands (British)</option>
<option value="240">Virgin Islands (US)</option>
<option value="241">Wallis And Futuna Islands</option>
<option value="242">Western Sahara</option>
<option value="243">Yemen</option>
<option value="244">Yugoslavia</option>
<option value="245">Zambia</option>
<option value="246">Zimbabwe</option>
</select>
</p>
</div>
<div class="col-sm-6">
<p class="checkout-form">
<label>PREFERED STATE <abbr class="required" title="required">*</abbr></label>
<input type="text" class="input-text" name="perm_prefered_state" placeholder="PREFERED STATUS" value="">
</p>
</div>
<div class="col-sm-6">
<p class="checkout-form">
<label>PREFERED STATUS <abbr class="required" title="required">*</abbr></label>
<input type="text" class="input-text" name="perm_prefered_status" placeholder="PREFERED STATUS" value="">
</p>
</div>
<div class="col-sm-6">
<p class="checkout-form">
<label>COMPLEXION <abbr class="required" title="required">*</abbr></label>
<input type="text" class="input-text" name="perm_complexion" placeholder="COMPLEXION" value="">
</p>
</div>
<div class="col-sm-6">
<p class="checkout-form">
<label>MARRIAGE BUDGET <abbr class="required" title="required">*</abbr></label>
<input type="number" class="input-text" name="perm_budget" placeholder="budget " value="">
</p>
</div>
<div class="col-sm-6">
<p class="checkout-form">
<label>FAMILY ANNUAL INCOME <abbr class="required" title="required">*</abbr></label>
<input type="number" class="input-text" name="perm_family_annual_income" placeholder="FAMILY ANNUAL INCOME " value="">
</p>
</div>
<div class="col-sm-6">
<p class="checkout-form">
<label>ANNUAL INCOME (BRIDE/GROOM) <abbr class="required" title="required">*</abbr></label>
<input type="number" class="input-text" name="perm_annual_income_bride_groom" placeholder="ANNUAL INCOME (BRIDE/GROOM)" value="">
</p>
</div>
<div class="col-sm-12">
<p class="checkout-form">
<label>Choose Profession <abbr class="required" title="required">*</abbr></label>
<br>
<label class="checkbox-inline">
<input type="checkbox" class="check1" name="profession01" value="DOCTOR"> DOCTOR
</label>
<label class="checkbox-inline">
<input type="checkbox" class="check1" name="profession02" value="TEACHER"> TEACHER
</label>
<label class="checkbox-inline">
<input type="checkbox" class="check1" name="profession03" value="ENGINEER"> ENGINEER
</label>
<label class="checkbox-inline">
<input type="checkbox" class="check1" name="profession04" value="BANKER"> BANKER
</label>
<label class="checkbox-inline">
<input type="checkbox" name="profession05" value="ARMY OFFICER"> ARMY OFFICER
</label>
<label class="checkbox-inline">
<input type="checkbox" class="check1" name="profession06" value="LAWYER"> LAWYER
</label><label class="checkbox-inline">
<input type="checkbox" class="check1" name="profession07" value="BUSINESMAN"> BUSINESMAN
</label>
<label class="checkbox-inline">
<input type="checkbox" class="check1" name="profession08" value="OTHER"> OTHER
</label>
</p>
</div>
<div class="col-sm-12" id="profession_other2" style="display:none;">
<p class="checkout-form">
<label>Other <abbr class="required" title="required">*</abbr></label>
<input type="text" class="input-text" name="profession_other2" placeholder="Other" value="">
</p>
</div>
</div>
<button class="ttm-btn ttm-btn-size-md ttm-btn-shape-round ttm-btn-style-fill ttm-btn-color-black mt-50" type="submit">Submit</button>
</form>
<div class="col-md-12 text-center">
</div>
</div>
</div>
</section></div>