Jain Digest 1998 07 Vol 14 No 03

Author(s): Federation of JAINA
Publisher: USA Federation of JAINA

Page 34

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:
ORGANIZATION'S NAME
2. Indicate your personal preference of these criteria for the match. Between the ages of
Age:
and
or open.
Height:
Between the height of
Weight: Between the weight of
Education: Bachelor
Major:
Vegetarian: s NO
Residence: (state)
Length of time in North America:
Language. English: YES NO
ORGANIZATION'S NAME
32/JAIN DIGEST FALL 1998
and
and
Masters Degree
Work experience:
Visa Status:
years.
Other (specify):
or open.
or open.
Other
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.