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Name
   
 
 
 
Email Address
   
 
 
 
College/Institution
   
 
 
 
Name of the degree (e.g. BTech, BArch, MCA, etc.)
   
 
 
 
Are you currently enrolled in the above mentioned course or college already graduated?
 
Enrolled
 
Graduated
 
 
 
Are you currently employed anywhere?
 
Yes
 
No
 
 
 
If employed, what type of organisation?
 
Government
 
Private
 
Self-Employed
 
Other
 
 
 
 
What is your average income per month?
 
Rs. 2,000 - 5,000
 
Rs. 5,000 - 8,000
 
Rs. 8,000 - 12,000
 
Rs. 12,000 - 18,000
 
Rs. 18,000 - 22,000
 
Rs. 22,000 - 28,000
 
Other
 
 
 
 
Are you satisfied with your current job-role?
 
Yes
 
No
 
Other
 
 
 
 
If your answer to the previous question is NO, please indicate your job role and details.
   
 
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