ISKCON AURANABAD Jaipur Yatra Form- 2013

1 2. 3 Name Family Head :

Address :

Email ID : Contact details : Mo. No. 1 Mo. No. 2 ____________________ ____________________ Age Relation Number of Round Chanting Registration Charges

4.

Name

A. B. C. D. E. F. G. 5. 6.

Care Takers Name / Recommendation by :

Accommodation Rooms ) : Dormitory Rooms ( Extra Charges excluding Reg. Charges for

7.

Number of Round Chanting

Since

____________________________________________

Here by paying the registration charges of Rs .. With above details. I have read and understood the details, disclaimer enclosed and signing in acceptance of it as family head.

Sign & Name