Book Title: Jain Digest 1997 06 Vol 13 No 02 Author(s): Federation of JAINA Publisher: USA Federation of JAINAPage 32
________________ YOUNG MINDS (continued) The mission of YJA is to be recognized nationally and internationally as an umbrella Jain youth organization for establishing a network to share Jain heritage and religion through youth. YJA currently has over 25 affiliated organizations representing 2500 Jain youths. If you would like to learn more about YJA and or become a member, please fill out the following form and send it to Raju Shah P.O.Box 202039 New Haven, CT 06520-2039. General Membership Form First Name: Init: General Information: Last Name: Permanent Address: City: Tel [Home]:C _ Local Jain Center: _ State/Province: [School/Work]:C . Father's Name: _Zip/Postal Code: Email: _ Date of Birth: Mother's Name: Educational Information: Check One: School Elementary/High-School Working Other (Please Specify) Undergraduate College Post-Graduate College School Name: Class Of (mm/yy): Area of Study: Position: No. of Years: Young Professional Information: Current Employer/Company: Business Address: City: Tel [Work]: ) State/Province: [Fax]: Zip/Postal Code: _Email: Please Check if applicable: O do not want any of this information published by YJA in a positive manner. Signature: Date: Young Jains Plan Trip To India There has been much fanfare about the planned trip to India during the winter of 97. The trip is a two week tour of many of the Jain sites in India. The cost is $1300/- which is inclusive of lodge & board in quality hotels, and domestic travel. Please make checks out to BHARATIYA JAIN SANGHATANA. The trip starts on Monday, December 15, 1997. The admissions will be granted on a first-come, first serve basis. Due to the overwhelming response, please send your payments ASAP to Raju Shah P.O.Box 202039 New Haven, CT 06520. PASSPORT # E-Mail: Application For Trip To India Name: M/F (Circle One) Date of Birth Student (or) Working? Home Address: Home Phone: Home Fax: School/Office Address: Have You Visited India Before? Yes/No If Yes, When Last Visited?: What Prompts You To Join The India Trip in 1997? Do You Plan To Stay In India After The Trip? Yes/No If Yes Where? Do You Want Us To Make Any Travel Arrangements For You? Yes/No. If Yes, Please Give Details Of What You Want Done. Would you find Air India OK? Which Is The Nearest International Airport To Your Home? For What Period? YOUR SIGNATURE (IF YOU ARE 18 YEARS OLD OR OLDER, ELSE YOUR PARENT'S SIGNATURE AS CONFIRMATION OF CONSENT FOR YOUR JOINING THE TRIP): (THOSE BORN AFTER NOVEMBER 1980 ARE NOT ELIGIBLE TO JOIN THE TRIP) 30/JAIN DIGEST FALL 1997 Jain Education Interational 2010_02 For Private & Personal Use Only www.jainelibrary.orgPage Navigation
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