style="font-size:15px;"> big town ( )
City ( )
3c. In which state is this place located?
..............................................................
3d. What is the total population of this place?
..............................................................
4a. In which place do your parents live now?
..............................................................
4b. Is this place a village, small town, big town or a city?
village ( )
small town ( )
big town ( )
City ( )
4c. In which state is this place located?
..............................................................
4d. What is the total population of this place?
..............................................................
5a. In which faculty do you study?
..............................................................
5b. Which subject do you study?
..............................................................
6. Please mention which of the following examinations you have passed; in which year, in which division and from which place.
____________________________________
Year Division place
Matriculation
__________________________________________
Higher Secondary
__________________________________________
Intermediate
__________________________________________
1st Year TDC
__________________________________________
B.A./B.Sc./B.Com./
Rural Diploma
__________________________________________
M.A./M.Sc./M.Com.
7a. What was the division you obtained in last year's examination?
..............................................................
..............................................................
7b. In which division do you expect to pass your final examination?
..............................................................
..............................................................
8. Where do you stay at present?
with parents ( )
with relatives ( )
in hostel ( )
in private room ( )
other response ..................................
9. Please fill up the following table carefully; give particulars also of expired persons!
__________________________________________________________________________________
occupation educational monthly age living/ qualification income expired
__________________________________________________________________________________
of paternal grandfather
__________________________________________________________________________________
of maternal grandfather
__________________________________________________________________________________
father
__________________________________________________________________________________
mother
of brothers occupation educational monthly age living/ qualification income expired
__________________________________________________________________________________
1.
__________________________________________________________________________________
2.
__________________________________________________________________________________
3.
__________________________________________________________________________________
4.
__________________________________________________________________________________5.
__________________________________________________________________________________6.
of sisters occupation educational monthly age living/
qualification income expired
__________________________________________________________________________________
1.
__________________________________________________________________________________
2.
__________________________________________________________________________________
3.
__________________________________________________________________________________
4.
__________________________________________________________________________________
5.
__________________________________________________________________________________
6.
__________________________________________________________________________________
