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MIS REGISTRATION FORM - PAGE 2
1. Two references who are members of the Jain Community or other Indianorganizations.
A. Name:
Address:
Phone:
Member of:
ORGANIZATION'S NAME
B. Name:
Address:
Phone:
Member of:
ORGANIZATION'S NAME
2. Indicate your personal preference of these criteria for the match. Age:
Between the ages of_ and_ or open. Height: Between the height of and or open. Weight: Between the weight of and or open. Education: Bachelor Masters Degree Other
Major: Vegetarian: Yes NO Work experience: YES NO Residence: (state)
Visa Status: Length of time in North America: - years. Language: English yes no not important, Other (specify): Color of skin: LICHT WHEAT OPEN
3. Photograph Attach a recent, full-length photograph of yourself with your name printed on the back. Please note: no photographs will be exchanged while matching is taking place.
36/JAIN DIGEST FALL 1997 Jain Education Interational 2010_02
For Private & Personal Use Only
www.jainelibrary.org
