2026 SVAJAN Speed Dating Registration Form

SVAJAN - Speed Dating Registration Form

[Open to any Gujarati candidate. $25 per registration. On Dec 13, 2026, 3pm, Virtual meet]
Full Name

First NameMiddle NameLast Name
Father's Name

First NameMiddle NameLast Name
Mother's Name

First NameMiddle NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Phone Number

Area CodePhone Number
Cell Phone Number

Area CodePhone Number
E-mail
Height
Weight
Gender
Birth Date

MonthDayYear
Place of Birth
Samaj Name
Education/Degree
Year Graduated
University
Occupation
Current employer
Marital Status
Citizenship
Hobbies
Partner Preferences
(Example: Age range, Diet, Citizenship, Education etc.)
Upload Photo

Upload a File
(request to upload headshot picture) Cancelof
PAYMENT: (note: your entry is not valid without payment)

Option1: Zelle $25 using svajanmain@gmail.com (Make sure to put Note/Memo, name of the candidate and phone number for contact. Your payment will not be considered without that. )

Option2: PayPal link can be clicked to pay via PayPal, you can use any credit card also (doesn't required to have PayPal account). it will have convinience fee.
Agree to the term
Should be Empty:

SVAJAN - Speed Dating Registration Form