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Man-Making Nation-Building |
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All India Camps - 2008
For successful
completion of the Shibir, adherence to above instructions is necessary.
How to Enroll? 1. Fill up the attached form (giving full and correct details) and send to the address given below.
2.
Attach a demand draft for the Shibir donation in favour of Vivekananda Kendra, Payable at State Bank of India, Vivekanandapuram,
(Code-3780), Kanyakumari.
3. Registration / enrolment on reaching maximum number
i.e.
75. Correspondence Address
Shibir Office In-charge
Daily-routine
This schedule is subject to minor changes as may deem fit by the Shibir Pramukh
Application
Form
(Application
for: Yoga
Shiksha
Shibir/Spiritual
Retreat)
From (date):- ___/___/______ To:-
___/___/______ 1. Name (in CAPITAL):-
and
Present
Address:-
Phone:-
E-mail:-
2.
Male/Female: (Mark √ whichever is applicable)
3.
Marital status:-
4.
Date of Birth:-
5.
Permanent Address
Phone number:-
E-mail:-
5.
Languages you know:- Read
Write
Speak
6. Educational qualifications:-
7. Occupation:-
8. Name of the organization
presently
working/studying:-
9.
Source of your information
about this Shibir:-
10.
Have you attended any Yoga courses before? (Give details if any):-
11.
Are you associated with any spiritual/cultural/service organization?
(Give details if any):-
13.
If you are suffering from any of the following ailments, please give
details:-
v
Heart ailments
v
Diabetes
v
Spondylitis
v
Any other (specify):-
14.
Have you undergone any major surgeries? If yes, please give details:-
15. Blood
pressure (latest record):-
16.
Please specify your purpose in attending this Shibir:-
I
declare that the information furnished above is correct and complete. I
have read all the instructions regarding the Shibir and I undertake to
abide by the discipline of the Shibir.
Date
Signature
of the Applicant
Remittance Details:-
MO/DD
no.
Dated
.
For
Rupees
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