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Yog Registration -Form Fill

Section One
Q1

Name*

First Name
Q2

Name*

Last Name
Q3

Name*

Prefix
Q4

Age*
Q5

Gender*
Q6

Phone Number*

Phone Number
Q7

WhatsApp Number*

Phone Number
Q8

Email*
Q9

Email 2
Q10

Current Address*

Street Address
Q11

Current Address*

Street Address Line 2
Q12

Current Address*

City
Q13

Current Address*

State / Province
Q14

Current Address*

Postal / Zip Code
Q15

Current Address*

Country
Q16

Permanent Address

Street Address
Q17

Permanent Address

Street Address Line 2
Q18

Permanent Address

City
Q19

Permanent Address

State / Province
Q20

Permanent Address

Postal / Zip Code
Q21

Permanent Address

Country
Q22

Occupation
Q23

Company Name
Q24

Your local time at 9.30 AM (IST)*
Q25

Where did you hear about ONLINE YOG VASHISHT?*
Q26

What type of Virtual Event would you like to attend in future?*
Q27

Please give a brief about yourself and your connect with Om Swami PremanandJi Maharaj & the Sivanand Ashram, Uttarkashi.*