Scribd
Upload
86 views1 page

Kamakhyamrutha Mission: Registration Form

The document is a registration form for Kamakhyamrutha Mission. It collects contact information such as name, address, phone numbers and email. It also asks optional questions about spiritual background and whether the registrant would like to volunteer or teach for the mission. The form is used to enroll participants in workshops, meditation and healing programs, and collects a signature and date.

Uploaded by

ARK
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
86 views1 page

Kamakhyamrutha Mission: Registration Form

The document is a registration form for Kamakhyamrutha Mission. It collects contact information such as name, address, phone numbers and email. It also asks optional questions about spiritual background and whether the registrant would like to volunteer or teach for the mission. The form is used to enroll participants in workshops, meditation and healing programs, and collects a signature and date.

Uploaded by

ARK
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

Kamakhyamrutha Mission

Registration Form

Place: Date:

1. First Name :
2. Middle Name :
3. Last Name (Family Name) :
4. Preferred Name: :
5. Address :

6. City :
7. State :
8. Country :
9. Email :
10. Mobile Phone :
11. Home / Work Phone :

12. Spiritual Information : (like previous Deeksha, Guru etc details; ) (optional)

13. Would you like to part of KAM Volunteer Team: Yes / No


14. Would you like to spread KAM vision and mission goals to your known contacts? Yes / No
15. Would you like to be a Srividya Teacher? Can we contact you on need basis? Yes / No
16. Please let us know more about you and your spiritual goals to help mutually

Enrolled into:

1. Srividya Workshop : G/S/V/L Donation: Rs.


2. Meditation & Healing : Basic / Advanced
3. Signature :
4. Date / Period :

Hyderabad : Flat-005, Building-3C, Divya Sakthi Apartments, Ameerpet, Telangana, India

You might also like