Sri Margazhi Puja 2022 - 2023
This form is to be filled-up for sevas in  Margazhi Puja at Sri Adiguru Sri Prajna Dakshinamurti Vidyapitham, Theni
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Name *
Mobile Number *
Mail Id: *
Communication Address (Only Indian Postal Address for Prasadham) *
PAN NO / AADHAR NO
Seva Date *
MM
/
DD
/
YYYY
Seva Details *
Required
Place of Residence *
Gothram of the First Person
Nakshatram of the First Person
Rasi of the First Person
Title of the First Person *
 Name of First Person: *
Gothram of the Second Person
Nakshatram of the Second Person
Rasi of the Second Person
Title of the Second Person
Name of the Second Person
Gothram of the Third Person
Nakshatram of third Person
Rasi of the Third Person
Title of the Third Person
Name of the Third Person
Gothram of the Fourth Person
Nakshatram of the Fourth Person
Rasi of the Fourth Person
Title of the fourth Person
Name of the Fourth Person
Gothram of the Fifth Person
Nakshatram of the Fifth Person
Rasi of the Fifth Person
Title of the Fifth Person
Name of the Fifth Person
Name of the Remitter *
UTR / IMPS Number *
Amount of Remittance *
Date of Remittance *
MM
/
DD
/
YYYY
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