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Full Name
[IN CAPITAL LETTERS]: HONEY NILAY PATEL Gender: FEMALE

D.O.B: 08/DEC/2006 Class: Current 12 Stream: COMMERCE

(E.g.: 12/DEC/2002) Medium: ENGLISH
Board: IBDP Name of the Institute/College: JAYSHREE PERIWAL INTERNATIONAL SCHOOL

Residential Address: “SURYA” BEHIND NAV-SHAKTI COMPLEX, JAMMER ROAD BHUSAWAL, JALGAON,
MAHARASHTRA

Mobile No: (Self): 9356672701 Mother Tongue: GUJARATI

Parent/s Mobile No.: 8275053501

Email Id: HONEYPATEL940@GMAIL.COM You got your reference from a FAMILY FRIEND

Family Background:

Service
Post /
Relation Name Age Education (Company’s
Designation
Name) / Business

Father NILAY PATEL 43 MBA BUSINESSMAN

DHANWANTRI
MEDICAL
Mother TEJAL PATEL 41 B.COM HOUSEWIFE
-
Brother/Sister HEER PATEL 14 9TH
STUDENT
-
Sister/Brother

Academic Information: [ Please type ‘Yes’ or ‘No’ and strike out ‘Option’ whichever option is NOT applicable]

Percentage/ Grades- X: 65% XI: 26/42 XII [Last exam appeared with the GPA/
Grade/%] ___26/42__________________
Subjects in your present class: ECONOMICS, BUSINESS MANAGEMENT, HINDI, ENGLISH, MATHS, AND ESAS

Subjects that you like to study: BUSINESS MANAGEMENT AND HINDI

Subjects that you need to memorize because you don’t understand: ENVIRONMENTAL SYSTEMS AND SOCIETIES AND
ECONOMIC
Have you chosen the educational stream of your choice? Yes/No [Specify the reason]: NO BECAUSE IT IS UNDECIDED

TILL NOW

Have you enrolled for any Entrance exams coaching like Medical/Engineering/ Hotel Management/Law/ Management
{Any other? If yes, specify]: ______________________________NO_____________________________________

Have you failed in any standard / any drop in academics? Yes/ No. If yes, specify the standard & the reason
_____________________________________________________NO__________________________________________________
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Impact of Online Education on [Rate as 3 - Increased, 2 - Reduced, 1 – Same]

Reading: __2__ Writing Speed: __3__ Concentration: __2__ Understanding of Concept: _2___ Sitting in one place for long
time:___1____ Anything else: ____________________________________________________________________________

Do you wear Spectacles/Contact lenses? If Yes, [Eye Sight (L) __-2.75_____ (R) __-1.75____] /No
Problems faced academically (only if Diagnosed professionally- kindly tick ( ) whichever applicable):
 Dysgraphia  Dyslexia  Attention Deficit  Dyscalculia  Slow Learner

Have you undergone any Aptitude test / Guidance before? If yes, when, where & duration of the test?
NO________________________________________________________________________________________________________

Any constant physical complaint/major illness/allergies/infections: Yes/No, If Yes Specify -_____NO_______________

_____________________________________________________________________________________________________________________________________________
List 3 Professions (Your preference for career): NOT DESIGNATION

[1]___________ENTREPRENEUR _________________ [2] ___________LAWYER_________________ [3]

______________BUSSINESS _______________

How did you gather information for the above options? _BY RESEARCHING ON GOOGLE
____________________________________________________
List 3 Professions (Your Parent’s preference for career): NOT DESIGNATION
[1] ___________BUSINESS_________________ [2] ____________ENTREPRENEUR ________________ [3]
____________LAWYER_________________
Any personal information [not covered above] you would like to share:
_____________________________________________________________I HAVE ANXIETY ISSUES
_____________________________________________________________________________

DATE: __________27/5/2023___________________

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Growth Centre (I) Pvt. Ltd.

Information will be kept confidential