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Information for the 1996 National Jain Youth Directory
Send to: Jain Center of Greater Boston
26 Humbolt Avenue Burlington, MA 01803
Phone 617/272-3666 PLEASE TYPE OR PRINT CLEARLY
In order to promote activities among Jain young people and strenghten their interest in the Jain communities of North America, the JCGB is compiling a Jain Youth Directory of North America. It is our hope that this directory will be used to organize youth groups, encourage exchange trips, pen pals and establish contacts for studying or working away from home. All single Jain young people between the ages of 16 and 30 are encouraged to fill out this form. If you are a married couple, please fill out the form that is found on page 5.
Name: Dr./Mr. / Miss. / Ms.:
Date of Birth:
_Gender: Male / Female
Parent's Name:
_Hometown:
Interests or Hobbies:
If you are in high school, college or graduate school, please fill out the following information.
Your Address:
City:
State:
Zip:
Phone Number:
_Fax:
E-Mail:
Name of your school/college/university: -
Grade/year:
Major/Field of Study:
Degree:
If you are working please fill out the following information.
Name of Company:
Profession:
_ No. of years:
Office Phone Number:_
Fax:
E-Mail:
Submission of this form by the undersigned constitutes permission to the the Jain Center of Greater Boston to publish the information there in in print, electronic database or other forms. In the event of error or omission the Jain Center of Greater Boston will not be held responsible.
Feel free to duplicate this form and pass it on to your Jain Friends.
Signature:
Date:
JAIN DIGEST
May 1996 www.jainelibrary.org
Jain Education International
For Personal & Private Use Only
