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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:
B. Name:
Address:
Phone:
Member of:
2. Indicate your personal preference of these criteria for the match. Between the ages of _______ and
Age:
or open.
Height:
Between the height of
and and
Weight: Between the weight of Education: Bachelor
Major:
Vegetarian: vis NO
Residence: (state)
ORGANIZATION'S NAME
LIGHT
32/JAIN DIGEST WINTER 1997
Jain Education International
ORGANIZATION'S NAME
Masters Degree
Work experience:
WHEAT
Visa Status:
years.
Length of time in North America:
Language: English yes no not important, Other (specify):
Color of skin:
or open.
or open.
Other
OPEN
YES NO
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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