Preis des aufrechten Gangs. Prodosh Aich

in which division and from which place.

      ____________________________________

      Year Division place

      Matriculation

      __________________________________________

      Higher Secondary

      __________________________________________

      Intermediate

      __________________________________________

      1^st 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.

      __________________________________________________________________________________

      10. In terms of social prestige: to which of the following classes does your parental family belong?

      upper upperclass ( )

      lower upperclass ( )

      upper middleclass ( )

      lower middleclass ( )

      upper lowerclass ( )

      lower lowerclass ( )

      11. In terms of property and income: to which of the following classes does your paternal Family belong?

      upper upperclass ( )

      lower upperclass ( )

      upper middleclass ( )

      lower middleclass ( )

      upper lowerclass ( )

      lower lowerclass ( )

      12. In terms of social prestige: to which of the following classes does/did the family of your grandfather belong?

      upper upperclass ( )

      lower upperclass ( )

      upper middleclass ( )

      lower middleclass ( )

      upper lowerclass ( )

      lower lowerclass ( )

      13. In terms of property and income: to which of the following classes does/did the family of your grandfather belong?

      upper upperclass ( )

      lower upperclass ( )

      upper middleclass ( )

      lower middleclass ( )

      upper lowerclass ( )

      lower lowerclass ( )

      14. Are you single, married, divorced or widow(er)?

      single ( )

      

married ( )

      divorced ( )

      widow (er) ( )

      Where does your wife/husband live now?

      ............................................................

      How many children do you have?

      none ( )

      1 child ( )

      2–3 children ( )

      4 or more children ( )

      What is/was the occupation of your

      father-in-law?

      ..............................................................

      What is/was his approximate monthly income?

      ............................................................

      15. From which of the following sources do you get financial support?

      monthly amount

      parents