Online Application Form for Sannyasa Peeth Events 2024

For those who have visited Sannyasa Peeth since 2018 for events or trainings.

Note:

All participants are expected to abide by the rules of the ashram, maintain the discipline, and also participate in the daily activities and seva.
Admission policy is selective, and a personal introduction is preferred when accepting applications.
Sannyasa Peeth reserves the right of admission to any training, program, or event.

The Event being applied for is:

A. Intended dates of visit

1. Intended arrival date:

2. Intended departure date:

B. Personal Information

1.* Recent passport photo (file to be in jpg or jpeg format, max 5 MB)

2.* Full name:

3. Spiritual name (if any):

4 a. Diksha:

Mantra

Jignasu

Karma

Poorna

Nil

4 b. Diksha given by:

5. Gender:

Male

Female

6 a. Date of birth:

6 b. Age in years:

7. Marital status:

Married

Unmarried

8. Present nationality:

9 a. Permanent Address (line 1):

9 b. Permanent Address (line 2 - City, State):

9 c. Post code / Pin code:

9 d. Country:

10. Email address:

11 a. Mobile number:

11 b. Home phone number:

12 a. In case of emergency, please contact:

12 b. Relation:

12 c. Email address:

12 d. Phone number:

C. Ashram Experience

When did you last visit the Munger ashram?

Year :

Month :

Duration of visit:

Purpose:

If you have not visited the ashram before, or your last visit was prior 2018, please submit the full application form [available here] to Sannyasa Peeth for consideration.

D. Medical Details:

1* Are you taking any medication/s at present?

Yes

No

2 a.* If you have any current physical health problems, allergies, illnesses or diseases, give full details:

Yes

No

2 b. Contact details and phone number of your doctor in the case of an emergency:

Name:

Email address:

Phone number:

3.* Have you suffered from any major illness in the past? (If yes, please give details.)

Yes

No

4.* Do you have a history of any mental health issues? (If yes, please give details.)

Yes

No

5.* Do you have any current mental or emotional health issues? (If yes, please give details.)

Yes

No

6* Have you ever been tested positive for Covid-19?

Yes

No

If yes, please give month and year (mm/yyyy):

Online Application Form for Sannyasa Peeth Events 2024

For those who have visited Sannyasa Peeth since 2018 for events or trainings.

Note:

The Event being applied for is:

A. Intended dates of visit

1. Intended arrival date:

2. Intended departure date:

B. Personal Information

1.* Recent passport photo (file to be in jpg or jpeg format, max 5 MB)

2.* Full name:

3. Spiritual name (if any):

4 a. Diksha:

Mantra

Jignasu

Karma

Poorna

Nil

4 b. Diksha given by:

5. Gender:

Male

Female

6 a. Date of birth:

6 b. Age in years:

7. Marital status:

Married

Unmarried

8. Present nationality:

9 a. Permanent Address (line 1):

9 b. Permanent Address (line 2 - City, State):

9 c. Post code / Pin code:

9 d. Country:

10. Email address:

11 a. Mobile number:

11 b. Home phone number:

12 a. In case of emergency, please contact:

12 b. Relation:

12 c. Email address:

12 d. Phone number:

C. Ashram Experience

When did you last visit the Munger ashram?

Year :

Month :

Duration of visit:

Purpose:

If you have not visited the ashram before, or your last visit was prior 2018, please submit the full application form [available here] to Sannyasa Peeth for consideration.

D. Medical Details:

1* Are you taking any medication/s at present?

Yes

No

a. Medication name and condition:

b. Medication name and condition:

c. Medication name and condition:

2 a.* If you have any current physical health problems, allergies, illnesses or diseases, give full details:

Yes

No

2 b. Contact details and phone number of your doctor in the case of an emergency:

Name:

Email address:

Phone number:

3.* Have you suffered from any major illness in the past? (If yes, please give details.)

Yes

No

4.* Do you have a history of any mental health issues? (If yes, please give details.)

Yes

No

5.* Do you have any current mental or emotional health issues? (If yes, please give details.)

Yes

No

6* Have you ever been tested positive for Covid-19?

Yes

No

If yes, please give month and year (mm/yyyy):