Bhakti Vaibhav Application Form
Please note that every year we have been struggling with late arrivals for the course. You are expected to be in Vrindavan on time to take part in the opening and complete your admission. Late comers will not be admitted. Preference will be given to students on the waiting list.
DEVOTEE NAME:
Your answer
LEGAL NAME:
Your answer
IDENTITY PROOF:
IDENTITY PROOF NUMBER:
Your answer
TELEPHONE(S):
Your answer
EMAIL(S):
Your answer
DATE OF BIRTH:
MM
/
DD
/
YYYY
AGE:
Your answer
GENDER:
Ashram/Marriage Status:
NATIONALITY (IES):
Your answer
MOTHER TONGUE:
Your answer
ENGLISH LANGUAGE PROFICIENCY LEVEL
YEAR YOU CAME IN TOUCH WITH ISKCON:
Your answer
YEAR YOU STARTED FOLLOWING THE 4 REGULATIVE PRINCIPLES:
Your answer
YEAR YOU STARTED CHANTING MINIMUM 16 ROUNDS OF HARE KRISHNA MAHAMANTRA DAILY:
Your answer
DATE OF FIRST INITIATION:
Your answer
DATE OF SECOND INITIATION:
Your answer
DIKSHA GURU/EMAIL/CONTACT NUMBER:
Your answer
SHIKSHA GURU/EMAIL/CONTACT NUMBER:
Your answer
RESIDENCE:
ADDRESS:
Your answer
OCCUPATION:
Your answer
EDUCATION (Academical)
Your answer
HAVE YOU COMPLETED/ARE YOU STUDYING BHAKTI SHASTRI?
WHERE DID YOU STUDY/ARE YOU STUDYING BHAKTI SHASTRI? (Please send a copy of your Bhakti Shastri Certificate to: vihe.courses.admissions@pamho.net)
Your answer
DID YOU COMPLETE THE VTE TEACHER TRAINING COURSES?
Required
OTHER TRAINING RECEIVED WITHIN ISKCON:
Your answer
WHICH OF THE FOLLOWING BOOKS HAVE YOU READ?
Required
WHAT DEVOTIONAL SERVICE DO YOU DO:
Your answer
HOW FREQUENTLY DO YOU ASSOCIATE WITH ISKCON DEVOTEES AND IN WHICH CONTEXT (Morning Program, sat-sanga, etc.)
Your answer
FOR WHICH CANTOS ARE YOU REGISTERING?
Required
HOW DID YOU COME TO KNOW ABOUT THE COURSE:
Your answer
FIRST RECOMMENDING PERSON NAME/TELEPHONE:
Your answer
FIRST RECOMMENDING PERSON POSTAL AND EMAIL ADDRESS:
Your answer
SECOND RECOMMENDING PERSON NAME/TELEPHONE:
Your answer
SECOND RECOMMENDING PERSON POSTAL AND EMAIL ADDRESS:
Your answer
ARE YOU BEING OR HAVE YOU BEEN SUBJECT TO ANY DISCIPLINARY ACTION BY AN ISKCON AUTHORITY? (If your answer is yes, briefly state details by email to: prasanta.vihe@gmail.com)
As a participant in the VIHE Bhakti-Vaibhav course, I agree to follow the policies regulating acceptable Vaisnava behavior. I agree to regularly attend all the classes and adopt the Vaisnava dress code: sari for women and dhoti-kurta for men. I understand that failure to follow the above mentioned will disqualify me as a VIHE student.
I shall be reaching Vrindavan latest by:
MM
/
DD
/
YYYY
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms