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Online Application Form for ashram visit & Ashram Life Experience
All participants are expected to abide by the rules of the ashram, maintain the discipline, and also participate in the daily activities and seva.
Bihar School of Yoga reserves the right of admission to any training, program, or event.
A. Intended dates of visit
1. *Intended arrival date:
2. *Intended departure date:
3. *Purpose of visit:
B. Personal Information
1.* Recent passport size photo (file to be in jpg or jpeg format, max 5 MB)
2.* Full name:
3. Spiritual name (if any):
4 a. Diksha:
Mantra
Jignasu
Karma
Poorna
Nil
4 b. Diksha given by:
5. Gender:
Male
Female
Other
6. Date of birth:
7. Marital status:
Married
Unmarried
8. Present nationality:
9 a. Permanent Address (line 1):
9 b. Permanent Address (line 2):
9 c. City / State:
9 d. Post code / Pin code:
9 e. Country:
10. Email address:
11 a. Mobile number:
11 b. Home phone number:
12 a. In case of emergency, please contact:
12 b. Relation:
12 c. Email address:
12 d. Phone number:
C. Ashram Experience
1a.* Have you stayed at Munger ashram before?
Yes
No
b.* If yes, when did you last visit the Munger ashram,
i. Year:
ii. Month:
iii. Duration of visit:
iv. Purpose:
c. *If no, how do you know of Bihar School of Yoga, or are you referred by someone?
2a. *Have you visited other ashrams?
Yes
No
b.* If yes, please give details:
i. Year:
ii. Ashram name, location:
iii. Duration of stay:
iv. Activity / Involvement:
D. Social Activities:
1. List the skills you have to contribute in ashram activities:
2. Have you ever been convicted of any criminal offence? If yes, give details of offence and sentence.
Yes
No
E. Medical Details:
1.* Do you have any current physical health problems, allergies, illnesses or diseases? If yes, give full details.
Yes
No
c.* Do you have any current medical or emotional health issues? If yes, give full details.
Yes
No
3.* Do you have a history of mental health issues?
Yes
No
4.* Are you taking any medication/s at present?
Yes
No
Medication Details:
5.* Do you have any dietary restrictions? If yes, give full details.
Yes
No