REGISTRATION FORM [Last Date of Submission : Nov. 5, 2004]
Name:
Address:
Tel:
E-mail:
Age:
yrs.
Sex:
Male: Female:
Blood Group:

EMERGENCY CONTACT:
Name:
Address:
Tel:
E-mail:
HAVE YOU EVER ATTENDED ANY YOUTH SAHAVAS BEFORE?    Yes: No:

IN ORDER TO ENSURE THAT MAXIMUM BENIFIT IS DERIVED FROM THE SAHAVAS, MAY WE HAVE THE ANSWERS TO THE FOLLOWING:

Your Interest / Hobbies:

Your Favourite Baba Quote:
Talent / Skills you specialise in:
Any Additional Duties/ Responsibilities you would like to opt for?:

TO DESIGN THE ACTIVITY MATRIX FOR THE SAHAVAS MAY WE HAVE THE FOLLOWING:
Service Projects of Interest to you in order of preference:
Art Projects of Interest:
Preferred Activity during Evenings:
Sports / Pastime You wish to Indulge in:
What suggestions do you wish to offer to make the Sahavas a complete Success?:

Please Intimate Travel Plan as Follows :
Mode of Conveyance :
Train Air Car Bus
Estimated Time of Arrival :
hrs.
Date of Arrival:
th November 2004.
Place of Arrival :
(Name of Rly. Station/ Airport/ Bus Terminal)
Your Departure Plan :