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PPMM13 Mentorship Application

Form
Passionpreneur Mastermind has been exclusively curated to fulfill your burning desire to identify
your passion, nurture it and build a successful business around this passion.

In order to make this a reality, we would love to get to know you personally. This will help us
facilitate your transformation more effectively. All we ask of you is that you answer all the
questions with utmost honesty and share as much details as you can.

Each of your answers are carefully read and understood in order to tailor to your requirement and
learning. Dev himself reads these answers too.

Rest assured, that all the information shared is kept strictly private and confidential and is not
shared with any third-party and is solely used to enhance your experience with the Program.

Passionpreneur Mastermind... The Place where Legends Are Made!

Your journey has now begun....


raju.aec3@gmail.com Switch account

* Indicates required question

Email*
Your email

Full Name:*

Your answer

Mobile (WhatsApp) Number:*


Please enter mobile number without Country Code

Your answer

Emergency Contact Number:


*
Please enter mobile number without Country Code

Your answer
Age:*

Your answer

Gender*
Male
Female
Prefer Not To Share

City Name:*
(Enter Only City Name, Dont enter the pin code)

Your answer

State Name: *
(Enter State Name Only, Dont enter numbers or pin code)

Your answer

What inspired you to join the exclusive community of Passionpreneur


Mastermind? (Write in as much detail as possible)*
Your answer

What makes you unique and eligible to join the Passionpreneur


Mastermind? (Write in as much detail as possible)*
Your answer

What are the challenges you are currently facing in life? (Be honest
and explain in detail)*
Your answer
Have you enrolled in any self-development program previously?*
Yes
No

If yes, what programs have you enrolled in the past? What were your
experiences? (If no, please put NA)*
Your answer

How much money have you invested in your self-development till date?
*

Your answer

How much time per week are you motivated to commit to your
personal growth? (Total hours in week)*

Your answer

What is your ideal dream life that you want to build? What does that
life look like? (Feel free to elaborate)
*
Your answer

What kind of transformation are you looking for from this program?*
Your answer
How committed are you to transform your life? (1 being lowest and 5
being highest)*
1
2
3
4
5

Have you undergone or currently undergoing any medical conditions or


treatment? (Bipolar, schizophrenia, depression, etc) (Please be
transparent about it)*
Yes
No

If yes, please write in detail and what is your condition now.


If no, please write 'NA'.
*
Your answer

Current profession:*
Job
Business
Freelance
Home Maker
Not Working
Student
Government Job
Other

Share briefly about your Profession*


Your answer
Total Work Experience (In years)*

Your answer

What is your current monthly income?*


No Income
Rs. 50,000 or Less
Rs. 50,000 to Rs. 1 Lakh
Rs. 1 Lakh to Rs. 2 Lakhs
Rs. 2 Lakhs to Rs. 4 Lakhs
Above Rs. 4 Lakhs

If you’re currently running a business, how much revenue are you


generating per year?
*
Not Applicable
Less than 10 Lakhs
Rs. 11 to 30 Lakhs
Rs. 31 to 50 Lakhs
Rs. 51 Lakhs to 1 Cr.
Rs. 1Cr. to 3 Cr.
Rs. 3Cr. to 8Cr.
Above Rs. 8Cr.

How much income do you want to make per month?*


Enter Desired monthly income in rupees

Your answer

If you want to share anything (additional information), please mention


here.
Your answer

A copy of your responses will be emailed to the address you provided.


Submit

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Forms

1. 10 cr- Property & house


2. 20 Lakhs- Car
3. 100 cr- Real estate property
4. 10 Cr- in Bank & LIC
5. 9.8 Cr- to charity
6. 1000 cr- in stock market
7. 5000 cr- for starting e-waste & plastic waste business to protect earth
8. 1880 cr- for telecom & IT business

Skills
1. resolving any telecom RF( Internet connectivity or slow speed) related issue(Wifi)
2. office networking Issue
3. All technical issues in laptop/computers
4. singing
5. environment protector
6. all jugad home made solutions for many day to day problems

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