Pakshik Yog Varg - JANARDANSWAMI YOGABHYASI MANDAL, NAGPUR

Your Identity Card Number ( driving license, pan card, aadhaar, etc.)

Enter your Aadhaar Card or alternative

Varg *

Pakshik Yog Varg

Gender *

Female

Male

Select the gender of the Student

Please select a gender.

First Name *

Enter First Name of the Student

Field cannot be blank

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Middle Name

Enter Middle Name of the Student

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Last Name *

Enter Last Name of the Student

Field cannot be blank

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Complete Address

Enter the Address of the Student

Field cannot be blank

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Pincode

Enter Pin Code of the Student

Invalid PinCode

City *

Enter District of the Student

Field cannot be blank

Invalid city name.

Country

Enter Country of the Student

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Whatsapp Number *

Enter Whatsapp Number of the Student

Field cannot be blank

Invalid phone number.

Email Address *

Enter Email Address of the Student

Field cannot be blank

Invalid email address.

Date of Birth *

Select Year first, then Month & then the Date.

Field cannot be blank

Invalid date format.

Educational Qualifications

Enter Qualifications of the Student

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Occupation

Enter occupation of the Student

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Location of Occupation & Designation

Enter Location of the Student's occupation and designation

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Age

Enter Age of the Student

Use Valid Age.

Weight

Enter Weight of the Student

Use Valid Weight.

Height(in feet)

Enter Height(in feet) of the Student

Use Number only.

Prashwas Kshamata

Enter Prashwas Kshamata of the Student

Value must be between 100 and 1000.

If suffering from Ailments, diseases or chronic pain

If the Student is suffering from any ailments or diseases kindly fill in complete details of the same

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Rules *

By checking this option in this online form, I agree that the information submitted by me is correct and complete. I also agree to attend the classes on all days and sit through the entire duration of each class as well as follows the rules of Janardanswami Yogabhyasi Mandal, Nagpur. I also pledge that, after completing this varg, I shall practice Yog-Asan daily and incessantly and that I will promote and teach Yog absolutely FREE of cost to the best of my abilities.

Please agree to the rules.

Consent to send information *

By checking this option in this online form, I agree to add my above-mentioned email ID as well as phone number to Janardanswami Yogabhyasi Mandal's mailing & SMS broadcast lists, respectively and grant your non-profit organisation "Janardanswami Yogabhyasi Mandal, Nagpur" the right to send me regular Newsletters or other communication pertaining to the activities of the organisation.

Please provide the consent to send information.

Initiatives

Exams

Varg