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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:
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.
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Weight:
Between the weight of ___ and
or open.
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-
Education:
Bachelor
Masters Degree
a Other
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-
Major:
-
-
Vegetarian: YES NO
Work experience:
YES
NO
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Residence: (state)
Visa Status:
-
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Length of time in North America:
years.
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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 SUMMER 1998 Jain Education Intemational
For Private & Personal Use Only
www.jainelibrary.one
