Jain Digest 1999 04

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

Page 40

MIS REGISTRATION FORM - PAGE 2
1. Two references who are members of the Jain Community or other Indian organizations.
A. Name:
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-
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Address:
-
-
Phone:
-
Member of:
ORGANIZATION'S NAME
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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.
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Height:
Between the height of _ __and
_ or open.
-
-
Weight:
Between the weight of
and
or open.
-
Education:
Bachelor
Masters Degree
Degree
a Other
-
-
Major:
-
-
Vegetarian: YES NO
Work experience:
YES
NO
-
-
Residence: (state)
Visa Status:
-
-
Length of time in North America:
years.
Language. English:
YES NO
Other (specify): –
--
-
--
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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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--
-
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38/JAIN DIGEST SUMMER 1999 Jain Education Intemational
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