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Kindly provide the information solicited in the below form.
Thank you for your interest in the pilgrimage. We look forward to a deep inspiring time together.
Your participation is confirmed only after full payment.
Payments can be made via online transfer. 
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Your Full Name *
Your Age *
Your Phone Number *
Your Email Address *
Your City of Residence *
Your PAN Number *
Emergency Contact Name & Number [provide a name/number other than your own] *
Your Accommodation Preferences *
If you choose Double Occupancy, let us know the partner you would like to room with; Alternatively, we can assign you a partner.
Do you have a medical condition that could influence/affect your stay and participation? *
If Yes, kindly provide more information.
Have you attended Ananda programs before?
Do you enjoy meditation?
What inspires you to choose this pilgrimage?
Is there anything else you would like to share with us?
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