Jain Digest 2009 03 Vol 28 No 1

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

Page 48

15th Biennial JAINA Convention JAIN21/Jain Network Forum (JNF)
Additional Information Form Register online at www.jain21.com
Please attach a photograph of yours if you wish it to be available on the website, along with your profile. First Name
Last Name
Middle/Father Name
Email Address
Education:
Primary Language:
Living Status:
Food Habits:
Do you Smoke?
Sex (M/F)
Alone
With Family With Roommates
Vegetarian
Non-Vegetarian Jain Vegetarian Vegan
Yes
No
What do you like to do in your free time?
Occasionally/Socially Age (Years)
What kind of Music do you like listening to?
What are some of your favorite foods?
What are some of your personal goals?
What are some of your professional goals?
JC09 Registration_v33.doc
How would your friends describe your personality?
Best Phone Number to contact:
Profession:
Are you willing to relocate after Marriage?
Marital Status:
Visa Status
Do you Drink?
Single Divorced with Kids Widowed with Kids Separated with Kids
What are some of the attributes you are looking for in your ideal mate?
Height (Feet + Inches)
US Citizen US H1
US Green Card Canadian
Indian
UK/European
Other
Yes
No
Taina 2009
Ecology The Jain Way
Occasionally/Socially Weight (Lbs)
Ja
I agree to share this information with the other participants of the JAINA Convention 2009 and on the website. SIGNATURE OF REGISTRANT:
Date:
Yes No
Divorced without Kids Widowed without Kids Separated without Kids