Kara Seva Shibir 2024 Registration Form

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Please fill your details in this registration form for the upcoming Kara Seva Shibir for Yuvadhara scheduled from Sunday, 22nd December - Sunday, 29th December, at Shri Chitrapur Math, Shirali.

Venue: Shrī Chitrāpur Mat͟h, Shirālī
Dates: Sunday, 22nd to Sunday, 29th December 2024
Reporting: By Saturday evening 21st December or latest by early morning 22nd December 2024 at Shrī Chitrāpur Mat͟h, Shirālī. Shibirārthī-s are urged to make their train, flight, or bus bookings early to avoid the holiday rush.
Departure: 29th December 2024 after 1500 hrs.
Eligibility: Yuvā-s between 15 and 35 years of age.
Objective: The primary objective will be Kara Sevā in the Mat͟h premises and farms at Kembre and Beṅgre and participation in all the daily Mat͟h activities and rituals.
Activities will include introduction to the various initiatives of the Mat͟h in Women Empowerment and Education, with visits to Srīvalī High School, Saṁvit Sudhā and the Handmade Paper Unit

The last date for registration is November 30th 2024.

Email *

Name *

Please enter your full name

Birth Date *

Please enter your birth date in MM/DD/YYYY format

YYYY

Local Sabha / City *

Address *

Please enter your full residential street address including city, state and pinched

Mobile Number *

Please share your whatsapp enabled mobile number.

Educational Qualification *

Please enter your highest educational qualification (Minimum - Std. X appeared)

Occupation *

Please enter your current occupation or if you are studying, you can state the course and the year

Have you attended any other Shibirs organized by Shri Chitrapur Math in the past? If yes, please state the name(s) of the Shibir(s) and the year(s) in which you have attended them

Please enter the names of the Shibirs and the year(s) for instance Kara Seva Shibir 2008, Sanskriti Prachaar Shibir 2010

Hobbies and other Interests

Please state your hobbies and other interests

Do you have any ailment requiring regular medication or special attention or monitoring? *

Especially travel sickness, asthama or other allergies

Blood Group *

Please enter your blood group (with the RH type) eg: O+, B-, AB- etc

Emergency Contact Number *

Photograph *

Please send a copy of your recent photograph to chitrapurshibirs@gmail.com

I have already emailed a copy of my photograph

I will email a copy of my photograph at the earliest

Send me a copy of my responses.

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