Admission Form

What Najaria needs to focus on

	To create and lead social change in their communities
	Would you like to have a Fun & Knowledge Tour in a metro like Delhi
	Making its Library more resourceful
	Providing Career Guidance & Counseling Centre
	Creating jobs and internships for Girls
	Counselling on Sex Education should be provided
	Fine Art Classes, Dance & Music, Computer Education
	Making its Gym more resourceful
	Making its Meditation centre more resourceful

Online (20 minutes ago): 0

First name:
Last name:
Nick name:
Father's Name:
Mother's name:
Father Occupation:
Family members (sisters and brothers):	sister Brothers
Address:

Mobile No.
E-mail:
When did you come on earth:(D.O.B)
your Head Rules your Heart or your heart rules your head.
What services you would like to offer for other Najaria members.
You would like to see your picture on Najaria Website	Yes No
Your views or suggestion regarding Najaria concept.
Your favorite book
Your favorite writer
Your favorite T/V serial
Your favorite movie
Are you YUVA	I am creative Innovative having positive attitude & will power to change society
	Only by age
Educational Status:
Convenient Time to Contact:
What Career do you wish to pursue in future?
What excites you the most?
What disappoints you the most?
Your strong points in a few words
Your weak points in a few words.
What do you aspire to become in the future?
Changes you would like to bring about in the Indian society.
Cultural or Social events participated in.	1
	2
	3
What is more important to you - dignity or success?
Do you know how to drive a Scooty	Yes No
What TV shows do you wish to watch?
Please give us your views regardng Najaria concept
How did you get to know about NAJARIA Foundation? Newspaper Friend Radio Other (please mention)