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Name
   
 
 
Rank
   
 
 
 
Age
   
 
 
 
How many years have you served till now?
   
 
 
 
What is the minimum number of years left for you to serve?
   
 
 
 
Which amongst the following best describes your highest qualification?
 
<10th
 
10th
 
12th
 
Graduation
 
Post graduation
 
Other
 
 
 
 
What is the number of dependants you have?
 
0
 
1
 
2
 
3
 
4
 
5
 
> 5
 
 
 
Which bracket best describes your annual income before tax?
 
< Rs.10, 000
 
Rs.10, 000 to 15, 000
 
Rs.16, 000 to 20, 000
 
Rs. 21,000 to 25, 000
 
Rs. 26,000 to 30, 000
 
Rs. 31,000 to 35, 000
 
Rs. 36,000 to 40, 000
 
Rs. 40,000 to 45, 000
 
> Rs. 45,000
 
 
 
Which option best describes the saving that you are able to make on a monthly basis?
 
 
5000 to 10000
 
10000 to 15000
 
15000 to 20000
 
> 20000
 
 
 
Please rank (1-5) the following in order of your financial priorities: (1 being top most priority)
Protection
Savings
Wealth creation
Child's future
Pension income
 
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