<div class="right-content">

                <div class="right-content-title">

                    <h4>Register Free</h4>

                </div>

                <div class="right-content-form wrap">

                    <table>

                        <tr>

                            <td>Profile created by</td>

                            <td>

                                <select>

                                <option value="self">Self</option>

                                <option value="parents">Parents</option>

                                <option value="sibling">Sibling</option>

                                <option value="relative">Relative</option>

                                <option value="friend">Friend</option>

                                </select>

                            </td>

                        </tr>

                        <tr>

                            <td>Name</td>

                            <td><input type="text"></td>

                        </tr>

                        <tr>

                            <td>Gender</td>

                            <td><input type="radio" name="gender" value="male"></td><td>Male</td>

                            <td><input type="radio" name="gender" value="female"></td><td>Female</td>

                        </tr>

                        <tr>

                            <td>Date of birth</td>

                            <td>

                                <select style="width:50px;">

                                <option>DD</option>

                                <option value="1">1</option>

                                <option value="2">2</option>

                                <option value="3">3</option>

                                <option value="4">4</option>

                                <option value="5">5</option>

                                <option value="6">6</option>

                                <option value="7">7</option>

                                <option value="8">8</option>

                                <option value="9">9</option>

                                <option value="10">10</option>

                                <option value="11">11</option>

                                <option value="12">12</option>

                                <option value="13">13</option>

                                <option value="14">14</option>

                                <option value="15">15</option>

                                <option value="16">16</option>

                                <option value="17">17</option>

                                <option value="18">18</option>

                                <option value="19">19</option>

                                <option value="20">20</option>

                                <option value="21">21</option>

                                <option value="22">22</option>

                                <option value="23">23</option>

                                <option value="24">24</option>

                                <option value="25">25</option>

                                <option value="26">26</option>

                                <option value="27">27</option>

                                <option value="28">28</option>

                                <option value="29">29</option>

                                <option value="30">30</option>

                                <option value="31">31</option>

                                </select>

                            </td>

                                <td>

                                    <select style="width:60px;">

                                    <option>MM</option>

                                    <option value="january">January</option>

                                    <option value="february">February</option>

                                    <option value="march">March</option>

                                    <option value="april">April</option>

                                    <option value="may">May</option>

                                    <option value="june">June</option>

                                    <option value="july">July</option>

                                    <option value="august">August</option>

                                    <option value="september">September</option>

                                    <option value="october">October</option>

                                    <option value="november">November</option>

                                    <option value="december">December</option>

                                    </select>

                                </td>

                                <td>

                                    <select style="width:65px;">

                                    <option>YYYY</option>

                                    <option value="1997">1997</option>

                                    <option value="1996">1996</option>

                                    <option value="1995">1995</option>

                                    <option value="1994">1994</option>

                                    <option value="1993">1993</option>

                                    <option value="1992">1992</option>

                                    <option value="1991">1991</option>

                                    <option value="1990">1990</option>

                                    <option value="1989">1989</option>

                                    <option value="1988">1988</option>

                                    <option value="1987">1987</option>

                                    <option value="1986">1986</option>

                                    <option value="1985">1985</option>

                                    <option value="1984">1984</option>

                                    <option value="1983">1983</option>

                                    <option value="1982">1982</option>

                                    <option value="1981">1981</option>

                                    <option value="1980">1980</option>

                                    <option value="1979">1979</option>

                                    <option value="1978">1978</option>

                                    <option value="1977">1977</option>

                                    <option value="1976">1976</option>

                                    <option value="1975">1975</option>

                                    <option value="1974">1974</option>

                                    <option value="1973">1973</option>

                                    <option value="1972">1972</option>

                                    <option value="1971">1971</option>

                                    <option value="1970">1970</option>

                                    <option value="1969">1969</option>

                                    <option value="1968">1968</option>

                                    <option value="1967">1967</option>

                                    <option value="1966">1966</option>

                                    <option value="1965">1965</option>

                                    <option value="1964">1964</option>

                                    <option value="1963">1963</option>

                                    <option value="1962">1962</option>

                                    <option value="1961">1961</option>

                                    <option value="1960">1960</option>

                                    <option value="1959">1959</option>

                                    <option value="1958">1958</option>

                                    <option value="1957">1957</option>

                                    <option value="1956">1956</option>

                                    <option value="1955">1955</option>

                                    <option value="1954">1954</option>

                                    <option value="1953">1953</option>

                                    <option value="1952">1952</option>

                                    <option value="1951">1951</option>

                                    <option value="1950">1950</option>

                                    <option value="1949">1949</option>

                                    <option value="1948">1948</option>

                                    <option value="1947">1947</option>

                                    <option value="1946">1946</option>

                                    <option value="1945">1945</option>

                                    </select>

                                </td>

                            </tr>

                            <tr>

                                <td>Marital Status</td>

                                <td>

                                    <select>

                                    <option selected="selected">Select Marital Status</option>

                                    <option value="unmarried">Unmarried</option>

                                    <option value="widow">Widow</option>

                                    <option value="divorced">Divorced</option>

                                    <option value="separated">Separated</option>

                                    </select>

                                </td>

                            </tr>

                            <tr>

                                <td>Religion</td>

                                <td>

                                    <select>

                                    <option selected="selected">Select Religion</option>

                                    <option value="hindu">Hindu</option>

                                    <option value="muslim">Muslim</option>

                                    <option value="christian">Christian</option>

                                    <option value="sikh">Sikh</option>

                                    <option value="jain">Jain</option>

                                    <option value="buddhist">Buddhist</option>

                                    <option value="spiritual">Spiritual</option>

                                    <option value="parsi">Parsi</option>

                                    <option value="jewish">Jewish</option>

                                    <option value="others">Others</option>

                                    </select>

                                </td>

                            </tr>           

                            <tr>            

                                <td>Mother Tongue</td>

                                <td>

                                    <select>

                                    <option selected="selected">Select Mother Tongue</option>

                                    <option value="hindi">Hindi</option>

                                    <option value="marathi">Marathi</option>

                                    <option value="telugu">Telugu</option>

                                    <option value="tamil">Tamil</option>

                                    <option value="punjabi">Punjabi</option>

                                    <option value="bengali">Bengali</option>

                                    <option value="gujarati">Gujarati</option>

                                    <option value="malayalam">Malayalam</option>

                                    <option value="kannada">Kannada</option>

                                    <option value="bihari">Bihari</option>

                                    <option value="urdu">Urdu</option>

                                    <option value="oriya">Oriya</option>

                                    <option value="marwari">Marwari</option>

                                    <option value="english">English</option>

                                    <option value="sindhi">Sindhi</option>

                                    <option value="arunachali">Arunachali</option>

                                    <option value="assamese">Assamese</option>

                                    <option value="awadhi">Awadhi</option>

                                    <option value="bhojpuri">Bhojpuri</option>

                                    <option value="bhutia">Bhutia</option>

                                    <option value="brij">Brij</option>

                                    <option value="badaga">Badaga</option>

                                    <option value="chatisgarhi">Chatisgarhi</option>

                                    <option value="coorgi">Coorgi</option>

                                    <option value="dhivehi">Dhivehi</option>

                                    <option value="dogri">Dogri</option>

                                    <option value="french">French</option>

                                    <option value="garhwali">Garhwali</option>

                                    <option value="garo">Garo</option>

                                    <option value="haryanvi">Haryanvi</option>

                                    <option value="himachali">Himachali</option>

                                    <option value="jaintia">Jaintia</option>

                                    <option value="kanauji">Kanauji</option>

                                    <option value="kashmiri">Kashmiri</option>

                                    <option value="khandesi">Khandesi</option>

                                    <option value="khasi">Khasi</option>

                                    <option value="konkani">Konkani</option>

                                    <option value="koshali">Koshali</option>

                                    <option value="kumoani">Kumoani</option>

                                    <option value="kutchi">Kutchi</option>

                                    <option value="ladacki">Ladacki</option>

                                    <option value="lepcha">Lepcha</option>

                                    <option value="limbu">Limbu</option>

                                    <option value="magahi">Magahi</option>

                                    <option value="maithili">Maithili</option>

                                    <option value="manipuri">Manipuri</option>

                                    <option value="miji">Miji</option>

                                    <option value="mizo">Mizo</option>

                                    <option value="monpa">Monpa</option>

                                    <option value="nicobarese">Nicobarese</option>

                                    <option value="nepali">Nepali</option>

                                    <option value="portuguese">Portuguese</option>

                                    <option value="pushtu">Pushtu</option>

                                    <option value="rajasthani">Rajasthani</option>

                                    <option value="sanskrit">Sanskrit</option>

                                    <option value="santhali">Santhali</option>

                                    <option value="singhalese">Singhalese</option>

                                    <option value="sourashtra">Sourashtra</option>

                                    <option value="tripuri">Tripuri</option>

                                    <option value="tulu">Tulu</option>

                                    <option value="others">Others</option>

                                    </select>

                                </td>

                            </tr>

                            <tr>

                                <td>Country living in</td>

                                <td>

                                    <select> 

                                    <option selected="selected">Select Country</option> 

                                    <option value="United States">United States</option> 

                                    <option value="United Kingdom">United Kingdom</option> 

                                    <option value="Afghanistan">Afghanistan</option> 

                                    <option value="Albania">Albania</option> 

                                    <option value="Algeria">Algeria</option> 

                                    <option value="American Samoa">American Samoa</option> 

                                    <option value="Andorra">Andorra</option> 

                                    <option value="Angola">Angola</option> 

                                    <option value="Anguilla">Anguilla</option> 

                                    <option value="Antarctica">Antarctica</option> 

                                    <option value="Antigua and Barbuda">Antigua and Barbuda</option> 

                                    <option value="Argentina">Argentina</option> 

                                    <option value="Armenia">Armenia</option> 

                                    <option value="Aruba">Aruba</option> 

                                    <option value="Australia">Australia</option> 

                                    <option value="Austria">Austria</option> 

                                    <option value="Azerbaijan">Azerbaijan</option> 

                                    <option value="Bahamas">Bahamas</option> 

                                    <option value="Bahrain">Bahrain</option> 

                                    <option value="Bangladesh">Bangladesh</option> 

                                    <option value="Barbados">Barbados</option> 

                                    <option value="Belarus">Belarus</option> 

                                    <option value="Belgium">Belgium</option> 

                                    <option value="Belize">Belize</option> 

                                    <option value="Benin">Benin</option> 

                                    <option value="Bermuda">Bermuda</option> 

                                    <option value="Bhutan">Bhutan</option> 

                                    <option value="Bolivia">Bolivia</option> 

                                    <option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option> 

                                    <option value="Botswana">Botswana</option> 

                                    <option value="Bouvet Island">Bouvet Island</option> 

                                    <option value="Brazil">Brazil</option> 

                                    <option value="British Indian Ocean Territory">British Indian Ocean Territory</option> 

                                    <option value="Brunei Darussalam">Brunei Darussalam</option> 

                                    <option value="Bulgaria">Bulgaria</option> 

                                    <option value="Burkina Faso">Burkina Faso</option> 

                                    <option value="Burundi">Burundi</option> 

                                    <option value="Cambodia">Cambodia</option> 

                                    <option value="Cameroon">Cameroon</option> 

                                    <option value="Canada">Canada</option> 

                                    <option value="Cape Verde">Cape Verde</option> 

                                    <option value="Cayman Islands">Cayman Islands</option> 

                                    <option value="Central African Republic">Central African Republic</option> 

                                    <option value="Chad">Chad</option> 

                                    <option value="Chile">Chile</option> 

                                    <option value="China">China</option> 

                                    <option value="Christmas Island">Christmas Island</option> 

                                    <option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option> 

                                    <option value="Colombia">Colombia</option> 

                                    <option value="Comoros">Comoros</option> 

                                    <option value="Congo">Congo</option> 

                                    <option value="Congo, The Democratic Republic of The">Congo, The Democratic Republic of The</option> 

                                    <option value="Cook Islands">Cook Islands</option> 

                                    <option value="Costa Rica">Costa Rica</option> 

                                    <option value="Cote D'ivoire">Cote D'ivoire</option> 

                                    <option value="Croatia">Croatia</option> 

                                    <option value="Cuba">Cuba</option> 

                                    <option value="Cyprus">Cyprus</option> 

                                    <option value="Czech Republic">Czech Republic</option> 

                                    <option value="Denmark">Denmark</option> 

                                    <option value="Djibouti">Djibouti</option> 

                                    <option value="Dominica">Dominica</option> 

                                    <option value="Dominican Republic">Dominican Republic</option> 

                                    <option value="Ecuador">Ecuador</option> 

                                    <option value="Egypt">Egypt</option> 

                                    <option value="El Salvador">El Salvador</option> 

                                    <option value="Equatorial Guinea">Equatorial Guinea</option> 

                                    <option value="Eritrea">Eritrea</option> 

                                    <option value="Estonia">Estonia</option> 

                                    <option value="Ethiopia">Ethiopia</option> 

                                    <option value="Falkland Islands (Malvinas)">Falkland Islands (Malvinas)</option> 

                                    <option value="Faroe Islands">Faroe Islands</option> 

                                    <option value="Fiji">Fiji</option> 

                                    <option value="Finland">Finland</option> 

                                    <option value="France">France</option> 

                                    <option value="French Guiana">French Guiana</option> 

                                    <option value="French Polynesia">French Polynesia</option> 

                                    <option value="French Southern Territories">French Southern Territories</option> 

                                    <option value="Gabon">Gabon</option> 

                                    <option value="Gambia">Gambia</option> 

                                    <option value="Georgia">Georgia</option> 

                                    <option value="Germany">Germany</option> 

                                    <option value="Ghana">Ghana</option> 

                                    <option value="Gibraltar">Gibraltar</option> 

                                    <option value="Greece">Greece</option> 

                                    <option value="Greenland">Greenland</option> 

                                    <option value="Grenada">Grenada</option> 

                                    <option value="Guadeloupe">Guadeloupe</option> 

                                    <option value="Guam">Guam</option> 

                                    <option value="Guatemala">Guatemala</option> 

                                    <option value="Guinea">Guinea</option> 

                                    <option value="Guinea-bissau">Guinea-bissau</option> 

                                    <option value="Guyana">Guyana</option> 

                                    <option value="Haiti">Haiti</option> 

                                    <option value="Heard Island and Mcdonald Islands">Heard Island and Mcdonald Islands</option> 

                                    <option value="Holy See (Vatican City State)">Holy See (Vatican City State)</option> 

                                    <option value="Honduras">Honduras</option> 

                                    <option value="Hong Kong">Hong Kong</option> 

                                    <option value="Hungary">Hungary</option> 

                                    <option value="Iceland">Iceland</option> 

                                    <option value="India">India</option> 

                                    <option value="Indonesia">Indonesia</option> 

                                    <option value="Iran, Islamic Republic of">Iran, Islamic Republic of</option> 

                                    <option value="Iraq">Iraq</option> 

                                    <option value="Ireland">Ireland</option> 

                                    <option value="Israel">Israel</option> 

                                    <option value="Italy">Italy</option> 

                                    <option value="Jamaica">Jamaica</option> 

                                    <option value="Japan">Japan</option> 

                                    <option value="Jordan">Jordan</option> 

                                    <option value="Kazakhstan">Kazakhstan</option> 

                                    <option value="Kenya">Kenya</option> 

                                    <option value="Kiribati">Kiribati</option> 

                                    <option value="Korea, Democratic People's Republic of">Korea, Democratic People's Republic of</option> 

                                    <option value="Korea, Republic of">Korea, Republic of</option> 

                                    <option value="Kuwait">Kuwait</option> 

                                    <option value="Kyrgyzstan">Kyrgyzstan</option> 

                                    <option value="Lao People's Democratic Republic">Lao People's Democratic Republic</option> 

                                    <option value="Latvia">Latvia</option> 

                                    <option value="Lebanon">Lebanon</option> 

                                    <option value="Lesotho">Lesotho</option> 

                                    <option value="Liberia">Liberia</option> 

                                    <option value="Libyan Arab Jamahiriya">Libyan Arab Jamahiriya</option> 

                                    <option value="Liechtenstein">Liechtenstein</option> 

                                    <option value="Lithuania">Lithuania</option> 

                                    <option value="Luxembourg">Luxembourg</option> 

                                    <option value="Macao">Macao</option> 

                                    <option value="Macedonia, The Former Yugoslav Republic of">Macedonia, The Former Yugoslav Republic of</option> 

                                    <option value="Madagascar">Madagascar</option> 

                                    <option value="Malawi">Malawi</option> 

                                    <option value="Malaysia">Malaysia</option> 

                                    <option value="Maldives">Maldives</option> 

                                    <option value="Mali">Mali</option> 

                                    <option value="Malta">Malta</option> 

                                    <option value="Marshall Islands">Marshall Islands</option> 

                                    <option value="Martinique">Martinique</option> 

                                    <option value="Mauritania">Mauritania</option> 

                                    <option value="Mauritius">Mauritius</option> 

                                    <option value="Mayotte">Mayotte</option> 

                                    <option value="Mexico">Mexico</option> 

                                    <option value="Micronesia, Federated States of">Micronesia, Federated States of</option> 

                                    <option value="Moldova, Republic of">Moldova, Republic of</option> 

                                    <option value="Monaco">Monaco</option> 

                                    <option value="Mongolia">Mongolia</option> 

                                    <option value="Montserrat">Montserrat</option> 

                                    <option value="Morocco">Morocco</option> 

                                    <option value="Mozambique">Mozambique</option> 

                                    <option value="Myanmar">Myanmar</option> 

                                    <option value="Namibia">Namibia</option> 

                                    <option value="Nauru">Nauru</option> 

                                    <option value="Nepal">Nepal</option> 

                                    <option value="Netherlands">Netherlands</option> 

                                    <option value="Netherlands Antilles">Netherlands Antilles</option> 

                                    <option value="New Caledonia">New Caledonia</option> 

                                    <option value="New Zealand">New Zealand</option> 

                                    <option value="Nicaragua">Nicaragua</option> 

                                    <option value="Niger">Niger</option> 

                                    <option value="Nigeria">Nigeria</option> 

                                    <option value="Niue">Niue</option> 

                                    <option value="Norfolk Island">Norfolk Island</option> 

                                    <option value="Northern Mariana Islands">Northern Mariana Islands</option> 

                                    <option value="Norway">Norway</option> 

                                    <option value="Oman">Oman</option> 

                                    <option value="Pakistan">Pakistan</option> 

                                    <option value="Palau">Palau</option> 

                                    <option value="Palestinian Territory, Occupied">Palestinian Territory, Occupied</option> 

                                    <option value="Panama">Panama</option> 

                                    <option value="Papua New Guinea">Papua New Guinea</option> 

                                    <option value="Paraguay">Paraguay</option>