yog mahotsav s hik ar-t e yout c nf c g 25 march, 2017 | 9am … · janata maidan, nandan kanan...
TRANSCRIPT
Affix photograph here
Affix photograph here
Registraon No: ___________Name: ___________________Venue: Janata Maidan, Nandan Kanan Road, Jay Dev Vihar, Bhubaneshwar - 751013Date : Saturday, 25 March, 2017Time : 9am - 1pm
Registraon No: ___________Name : ___________________________________________
To parcipate in your College / University Uniform -Blazer (if there is one) To be presenorthe enre duraon of the Youth Conference. Shall not be allowed to switch the workshop once selected Must carry your entry pass to gain entry to the Summit Must carry your Photo ID
Important for Registered Parcipant:
Queries & Registraons +91 9437115381 / +91 9861321270
| [email protected] | www.ny.cc/odishayogmahotsav
Acknowledgment: Received Rs:
By Cash/DD:
Volunteer's Name: _________________________
Receiver's Signature: ________________________
Date:_/_/____
For Office Use Only
For Internal purposes:
Workshop Selected - _________________
For Internal purposes: Workshop Selected - _________________
ODISHA
YOG MAHOTSAVODISHA
YOG MAHOTSAVShikhar - The Youth Conference on Yoga 25 March, 2017 | 9am to 1pm
Janata Maidan, Nandan Kanan Road, Jay Dev Vihar, Bhubaneshwar - 751013
Appendix 1 - Registration Form
Registration closes March 20, 2017
Registraon per Parcipant: INR 300/- Payment* by Cash/ DD / NEFTFor Direct Bank Deposion / NEFT; Bank Account name: “VVKI ORISSA APEX BODY”; Account no: 024010100458719; IFSC Code: UTIB0000024; payable at Axis Bank, Main Branch, Bhubaneshwar For Demand Dra (DD) - in favour of - " VVKI Orissa Apex Body" Declaraon: I understand that whatever benefits I derive from this workshop depends on my parcipaon. I declare that I am of sound mental & physical health & am doing this workshop depends on my own volion. I will not hold VVKI, VVKI teachers, volunteers & its partners organizaon responsible for any changes that may occur in my life due to parcipaon in the workshop. The workshop contribuon is non refundable and non - transferable under any circumstances. I have read the terms & condion & agree to abide by them.
For Office Use Only: Received Rs. __________ INR By Cash / DD No. _________________ Dated: ________________________Drawn on Bank: __________________________________________________________ Date of Registraon: __ / __ / ______Volunteer's Name: __________________________ Mobile: _________________ Receiver's Signature: ___________________Queries & Registraon Contact: +91 9437115381 / +91 [email protected] | www.ny.cc/odishayogmahotsav
_____________________Signature & Date
__________________________________________________________________________________________
Bhak Yog
Gyan Yog
Karma Yog
Raj Yog
Hatha Yog
In Order of your preference, number (No. 1 to 5) the following Breakaway Workshops, you want to parcipate in. (Selecon is only for one workshop)
The path of Devoon!
The path of Knowledge!
The path of Acon!
The path of Meditaon!
The path of Physical Purificaon!
*No refund on cancellaon
*No refund on cancellaon