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Shishu Vihar Enrolment Form 2019 - Auckland
New class starts on Saturday 05 October 2019
2.30pm to 3.30pm
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* Indicates required question
Email
*
Your email
Full Name of the Child
*
Your answer
Gender
*
Male
Female
Date of Birth of the Child
*
MM
/
DD
/
YYYY
What suburb do you live in?
Your answer
Email Id
*
Your answer
Name on Donation Receipt
*
Your answer
Name of Mother/Guardian & Mobile Number
*
Your answer
Name of Father & Mobile Number
*
Your answer
Mode of Payment of Donation - $25 a month
*
Online: 02-0192-0290929-00 Ref: <Name of Child> - Shishu Vihar - Month e.g. Ram - Shishu Vihar - Spetember
EFTPOS - to a Sevak at the ashram
Required
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