AURA WORKSHOP: REGISTRATION FORM


Full Name:
Name you would like to be called:
Your Profession:
Address for Communication:
Phone No.:
Resi.:
Office:
Mobile:
Specialization, if any:
Designation:
e-mail ID:
Are you practicing the following? Please select those which you practice.
Surya Namaskar Yogasan Panayam Brahma Vidya Sudarshan Kriya
Isha Yoga Sahaj Yoga Aerobics Bio-energy exercises 3SRB 49HB
Reiki Pranic Healing Soham sadhana Mantra Yog Surya Yog
Pyra Vastu Feng Shui Pyramidology Alternative Medicines Counselling
Meditation.
Any other practice, not mentioned above:

Your Speciality:

If you have any health related Problems, Please mention here:

Total Amount to be Paid: ( Rs.5000/-)
Payment by cash or Cheque / DD drawn in favour of “Tao Anand Spiritual Centre” payable at Mumbai. Payment by cash or Cheque / DD to be couriered to Mr. Prem Nirmal, 133, Shanti Ind. Estate, Sarojani Naidu Road, Mulund (W) Mumbai -400080
Declaration & Release form: I here by declare that I wish to join aura workshop at my will. I will follow the instructions for my own growth. I assure that my behavior during workshop will be conducive to learning and will not create any hindrance in other participants learning.
I take my own responsibility and release all other (including organizer, facilitator and fellow participants) for any consequences whatsoever.
Place:
Date:
    
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Weekly Event

Prem comments on
"Shiva-sutras". Every
2nd and 4th thursday
of every
month,
6pm to 9pm

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Mahakriya and Meditation:Every saturday 7pm to 9pm.
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Forthcoming Event

 

 

 

 

All Rights Reserved 2005 Prem Nirmal 133, Shanti Ind. Estate, Sarojani Naidu Road, Mulund (w) Mumbai- 400080 Ph: 25604250 Fax: 022-25674089