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MIS REGISTRATION FORM - PAGE 2
1. Two references who are members of the Jain Community or other Indian organizations.
A. Name:
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Address:
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Phone:
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Member of:
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ORGANIZATION'S NAME
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B. Name:
-
-
Address:
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Phone:
-
-
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Member of:
-
ORGANIZATION'S NAME
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2. Indicate your personal preference of these criteria for the match.
Age: Between the ages of ____ and or open.
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Height:
Between the height of __
and
or open.
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Weight:
Between the weight of __
and
or open.
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Education: Bachelor
Major:
Masters Degree___ Other
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Vegetarian: YES
NO
Work experience:
YES
NO
Residence: (state)
Visa Status:
Length of time in North America: _
years.
Language:
ENGLISH
YES
NO
OTHER (SPECIFY):
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.
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32/JAIN DIGEST SPRING 1998
Jain Education Interational 2010_02
For Private & Personal Use Only
www.jainelibrary.org