Prodosh Aich - Preis des aufrechten Gangs

......................... year ...........................

2. Are you male or female?

male ( )

female ( )

3a. Please mention your place of birth!

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

3b. Is your place of birth a village, small town, big town or a city?

village ( )

small town ( )

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

__________________________________________

1 stYear 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 ( ) .....................

father-in-law ( ) ....................

husband/wife ( ) ....................

brother/sister ( ) ....................

other relatives ( ) ....................

scholarship ( ) ....................

govt. loan ( ) ....................

self-earnings ( ) ....................

family property ( ) ....................

other source ....................

total amount ....................

16. Following is a list of occupations which of them do you aspire for, after the completion of your studies?

artist ( )

assistant ( )

business ( )

business executive ( )

clerk ( )

college teacher ( )

doctor ( )

engineer ( )

entrepreneur ( )

journalist ( )

lawyer ( )

minister ( )

MLA ( )

MLC ( )

MP ( )

party leader ( )

school teacher ( )

scientist ( )

social welfare officer ( )

social worker ( )

state administrative service ( )

union administrative service ( )

university teacher ( )

writer ( )

other response ...............................

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

17a. Assuming that you have a free choice: which of the following possibilities of living would you like to select?