Registration Form for Sakti Upasana Camp 2017

Chinmaya suyra, chinmaya mission puducherry

No.108, Krishna Main Road, 17^th Cross Cutting, Lawspet, Puducherry- 605008. (0413) 2254914

 

Registration For for Sakti Upasana Camp 2017

Residential / Non-Residential

Name :                                                           

S/o, D/o, W/o  :

Address :

Age :                                        Gender : M / F

Gotra :                                                 Nakshatra :

Mobile :                                                Email-id :

PAN No.                     

Please find enclosed a sum of Rupees _________________________________________

________________________________________________________________________

________________________________________________________________________

Paid by Cheque / DD No.                  

Dated                                                              drawn on

________________________________________________________________________

(Name of the Bank & Branch)

Favouring “Madras Chinmaya Seva Trust (Puducherry)”.

Direct Transfer Ref. No. :                                                                               and Date :

Signature

Pls. Note : Camp Donation is Non-Refundable