Vivekananda Kendra

Shibir Enrolment Form

Enrolment Form : Yoga Certificate Course
From :- 01-12-2016 To :- 30-12-2016
1. Name (in CAPITAL):............................................................................................................
Present Address:...................................................................................................................
...................................................................................................................
...................................................................................................................
Phone:- (Resi) : ......................................... (Office) .......................................
Mobile:- ................................................. Email :- …………………………………...
Website:- ................................................................................................................

2. Gender : Male / Female

3. Marital status :-

4. Date of Birth :- ………………………………………………………………
5. Languages you know :Read :- ............................. , ............................. , ............................. ,
Write :- ............................. , ............................. , ............................. ,
Speak :- ............................. , ............................. , ............................ ,

6. Educational qualifications :.....................................................................................................

7. Occupation:.............................................................................................................................

8. Name of the organization :......................................................................................................

9. Source of your information about this course :- ………………………………………

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Vivekananda Kendra

Shibir Enrolment Form

10. Have you attended any Yoga courses before? (Give details if any):................................................................................................................................................
11. If you are associated with any spiritual/cultural/service organization, give details.
................................................................................................................................................

12. If you are suffering from any of the following ailments, please give details:Heart ailments: .............................................................................................................................
Diabetes: ......................................................................................................................................
Spondylitis: ..................................................................................................................................
Any other (specify) :.......................................................................................................................

13. Have you undergone any major surgeries? If yes, please give details:..........................................................................................................................................

14. Please specify your purpose in attending this course :...........................................................................................................................................

I declare that the information furnished above is correct and complete. I have read all the
instructions regarding the course and I undertake to abide by the discipline of the course.
Date : ………………

Place : …………………
Signature of the Applicant

Remittance Details for Rs. 6,000/DD No. :- ……………………………………….. Dated :- ..………………………………….
If Online:- UTR No. ………………….. Date:- ………........ Bank Name ……………………….
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Vivekananda Kendra

Shibir Enrolment Form

:: General Instructions ::
1 Skill Training- One month In-house training (theory & Practical) at sprawling
Vivekanandapuram campus in Kanyakumari from 1st Dec to 30th Dec 2016
o Practicals would comprise of :
 Loosening exercises, Suryanamaskaar, Asanas, Pranayama, Kriyas
 Teaching Techniques
 Course fee : Rs. 6,000/- (For the one month residential training)
2 Practical Training: After attending this one month residential programme the
participants would be organizing and conducting three Yoga Satras (10/15 days
duration) at their home town in coordination with the local branch centre of
Vivekananda Kendra with minimum of 15 participants.
3 Team Dynamics: After attending Practical Training, participants would be part of
the organizing team for Yoga Shiksha Shivir at Kanyakumari, Nashik or Nagdandi
(J&K) where in participants from all over the nation participate.
4 After successful completion of Team Dynamics, conducting of the Yoga Shiksha
Shivir, and passing in the written the examinations based on syllabus, certificate
would be awarded.
5 Total Course duration: 6 Months
6 Participants should bring their necessary bedding, writing materials, toiletry articles
needed for entire one month duration of the Shibir.
7 Prescribed dress for Yogasana Sessions:
For Gents : Any light colour loose T-Shirts and Track suits/Shorts.
Apart from Yogasana and Shramanubhava sessions shorts are not
allowed for the other sessions.
For Ladies : Any light colour Salwar and Kameez i.e. Punjabi dress. Tight dress
or Jeans are not allowed.
8. Participation in all the sessions in time is compulsory for all the participants.
9. Participants should report at Shibir office on 1st Dec latest by 6.00 p.m. and can leave
only after 4pm on 30th Dec.
10. Going out of the campus venue, smoking, chewing of Paan / Paan-Masala,
consumption of tobacco / alcohol or any other intoxicants are strictly prohibited.

For successful completion of the Shibir,
adherence to above instructions is necessary
For Details : Course In-charge, Vivekananda Kendra, Vivekanadapuram, Kanyakumari – 629702
. Phone: 04652 – 247012. E-mail: camps@vkendra.org Web: http://www.vkendra.org

http://www.vkendra.org

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Vivekananda Kendra

Shibir Enrolment Form

Know Your Daily Routine
YOGA CERTIFICATE COURSE
04.30

Wake Up

05.15

Pratahsmaran

05.30

Yogasanas

07.00

Pranayama

07.30

Gita Recitation

07.50

Breakfast

08.30

Shramanubhava

10.00

Lecture-I

11.00

Group Discussions

12.30

Lunch

14.15

Chantings & Songs

15.00

Tea Break

15.20

Lecture-II

16.30

Yoga Practices

17.30

In tune with Nature

18.30

Bhajans

19.20

Supper

20.15

Anand-mela

22.00
Lights Off

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