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ae 2 Ora No. THE ART OF LIVING VYAKTI VIKAS KENDRA INDIA - MUMBAI INFORMATION CENTRE (VVKI - MIC) Westem: c-11, Bhoom, ASA, Vidya Daisi CHS, Om Nagar, Sar Pips Lie Road, Central Yashwant Soc, Opp Yashodhara CHS, Bhencup Vilage ‘ndher (€), Mumbai - 400096. Tel: 0222834690 Telefax: 022 26208057 Bhandup (€), Mumba - 400 O78, Te. 022-25851120 E-mail: wkimic@aninet Website: hip: artiving opimumbal small wkimie.cantral@yaheo.com ART EXCEL / YES! recistration ror (Pease tick as appicebe) am Doe. Hen Deo, dress: Phone: Mobile: Emai Schoo! College Class: Divs eran Curricutum /Exra-curicuum achievements: [JReasing []Paining []ancing [C]Music []outdoor games others: Best Talents / Skills: How did you come to know about this course? n's. i otco- : Mobi - Any specie heath condition moda story ofthe ci: Current Madicatons (any): Have you done The Artof Lng Course Parti? ] Yee Do Declaration: My child agrees to abide by allthe rules and reguiations stated by the Vyak Vikas Kendra India (VVKI) and The Artof Living {acully. | understand that whatever benefits my child will derive from this course depends totally on his/her participation. | release VVKI, ll ‘organizers, assistants and teachers in this program from all damages whatsoever and waive allright to compensation in case of Injury. | declare that my childs of sound mental and physical health and he / sheis doing the course with my consent. lalso promise that my ld will not disclose any of the contents of this course to anyone and will not teach any techniques of the course unless he/she s been {ully personally rained by HIS HOLINESS SRI SRI RAVISHANKAR, The course fees non-tefundable and non-transferable under any Ccroumstances. Place : Signature : Date PERSONALDONATIONFORTHEARTOFLVINGCOURSERS_____cesncheque No, Date Lseroat Coleg sponsors BankName Name of nstutor, Course date tom © (This portion ofthe fom ob given to parca at etme oepsraon) 3 VYAKTI VIKAS INDIA - MUMBAI INFORM, NTRI Mic Western: A2/A, hoomd C-1, Vidya Dani CHS, Om Nagas, Sahar Ppe Line Road, |: Jal Yashwant Soc, Opp Yashodhara CHS, Bhandvp Vilage, ‘Andheri (E), Mumbsi- 400 088, Tel: 022-28848060 / 28203657 Fax: 022-28387197 Ghandup (©), Mumbal 00 076, Tels 022-25081120, smal: wkimic@bvsninet Webse:htp:/hww artofving.ergmumba small: wkimle.central@yahoo.com Receiver's Name: Phone/Mobile: Received donation for ART EXCEL / YES! COURSE Rs. siven by Cash / Cheque / Demand draft Cheque / DD No. Bank Dated Dato: _ Place: Receivers Signature

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