Name*:

Age*:

MaleFemale

Address*:

Date of Self Realisation*:

Contact Number:*

Adhar Card No.*

Email ID*:

PAN No*:

Number of Family members*:

Date of Arrival*:

Date of Departure*:

Time of Arrival*:

Time of Departure*:

City/Center*:

Name of The Center Coordinator:

Contact Number of Centre Coordinator:

Declaration :
1. My purpose of visiting Pratishthan Pune is to learn Sahajayoga Meditation (Free Of Cost.)
2. I Respect Pratishthan as our Holy Mother's Home and will follow all the protocols.
3. I Will take due of all the things provided to me during my stay here in Pratishthan
4. I Will be responsible For all my belongings.
5. I Will Maintain the Holiness, Cleanliness of Pratishthan in all respect at any hour of time.
6. The Information provided above is True.