Lila Gyan Diksha Form

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(First Name) (Middle Name) (Surname)

Recent Photo

Phone Nos.(1): ………………………………… (2):………………………………………

E mail: ………………………………………………………………………………………….

Education: …………………………………. Occupation: ……………………………..

Details of spiritual camps/courses attended or associated with any spiritual organization:

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Are you a Yoga teacher or any spiritually associated professional? ……………………………

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Source of information for initiation: ………………………………………………….

OATH

I pledge – I will NOT impart any information by any means or teach ANY person the knowledge learned in initiation.

HUMBLE REQUEST

I request Acharyaji (Guruji) to impart this precious knowledge to me.

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Date Signature