Yoga Registration Form
Please submit the following information so that we can process and reserve accommodation at
Parmarth Niketan Ashram for your stay with us while you are attending the Yoga Course. Please
submit your completed registration form to [email protected].
Name of Yoga Course:
Beginning Date of Course:
Arrival Date:
Beginner Foundation Yoga
June 1
May 31
End date of Course :
June 13
Approximate Arrival Time at the Ashram: After noon
Departure from the Ashram: June 14
Your Legal Name: [First]
Saurabh
Last: Somvanshi
Postal Mailing Address: A- 84 , 2nd floor , Gandhi Vihar near Mukharjee Nagar
City:
Delhi
PIN / ZIP / PC:
State / Prov / County:
110009
India
Country: India
Phone number with country and area codes:
Indian Mobile # if available: +919958272748
Email Address:
[email protected]Profession: Student
Highest level of formal education completed (for Yoga Instructor Course only):
Institution / School:
Year completed:
City:
Country:
Other training completed:
To assist with room assignments:
Gender / Sex:
Date of Birth:
Country of Passport:
India
Languages spoken:
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06/02/1987
Hindi , English