7 Days Residential and Non-Residential Workshop "Happy Couple Happy Parent" Registration Form
𝟓 𝐝𝐚𝐲𝐬 𝐰𝐨𝐫𝐤𝐬𝐡𝐨𝐩 𝐨𝐧
"Happy Couple - Happy Parent"
𝐛𝐲 𝐒𝐨𝐦 𝐓𝐲𝐚𝐠𝐢
Based on Madhyastha Darshan (by A. Nagraj)
 
Date: 23 - 27, August 2022
Time: Morning 8:30 AM to 6:30 PM

Venue : Satpanth Prerna pith Tirth Dham, Pirana Village, Ahmedabad, Gujarat.
https://goo.gl/maps/aydnbBKWjn98q3Hs9

Note :
- The workshop is free of cost.
- Participants are expected to contribute for Food and / or accommodation for 10 Year and Above.
   The contribution per person for all 5 days is as follow :

4 Person Non AC - Room Sharing --> Rs. 2000 @ Per Person (Non AC Rooms + Food)
For Day Visitor for Food Only =Rs.1500/- @ Per Person

- Registration Accepted on Priority Basis.
- Participants can bring their children. Teacher's will be there to take care of children's above 3 Year age.
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अपना नाम
Father / Husband / Guardian Name
पिताजी / पति / अभिभावक का नाम
Last Name *
लास्ट नाम
Mobile Number (WhatsApp) *
मोबाइल नंबर (व्हाट्सएप )
Gender *
लिंग
Date of Birth
MM
/
DD
/
YYYY
City *
शहर
5 Days Accommodation Required?

5 दिन आवास की आवश्यकता है?
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Qualification *
Occupation *
Designation
Organization
How many members are attending this workshop with you? *
Write Name of Member who are also attending this Shibir with you.
Have you ever attended any Jeevan Vidya Programme earlier?
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Do you need Day care facility for children?
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Where you heard about this program?
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Pay for Booking amount to arrange Accommodation (Rs.2000/-) only --For any Query Contact Ajay Devmurari - +91-8850011652 - Send Payment Screen short to us. Plz send your Pancard + Aadhaar card Photo to info.JeevanVidhya@gmail.com or do Whatsapp.
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