Current Address
Mobile No.
Mother Tongue Other Languages Known Height Weight Complexion Religion Caste Blood Group Educational Qualification Occupation Annual Income Rs.
About Me Engaged prior? Medical History (if any) Hobbies
Family Background:
Family Address
Education
Occupation
(Present/Before retiring)
Which meditation center are you attached to? How many times do you meditate in a week? Who else in your family is engaged in Samarpan Meditation? Future Plans (General)
At Home At Center
Professional What is your Goal in Life? Are you planning to shift your address? Spiritual
Signature Signature (Mother)& Mobile No Signature (Father)& Mobile No Signature (Center Acharya)& Mobile No