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VOLUNTEERS FORM FOR SEVENTH 45 DAYS DEEP MEDITATION - 2013

(GAHAN DHYAN ANUSHTHAN- 2013)
SADHAKS DETAILS

Name of Sadhak : ___________________________________________

ID Card No. of Sadhak :
______________________________________
Date of 1stShibir (Joining Date) : ______________________________

Photograph of
Sadhak

Name of Samarpan Meditation Centre :

_________________________
Address of Sadhak : _________________________________________
____________________________________________________________________________
City : __________________________ Country : ___________________________________
Telephone No. : ____________________ Mobile No. :
_____________________________
E-mail ID :
__________________________________________________________________
Date of Birth : ______ Day _______ Month ________Year
Age : _______ Years; Place of Birth : _______________ Nationality :
________________
Education : ___________________________ Profession : __________________________
Skills : _____________________________________________________________________
Work of your choice : ________________________________________________________
WORK EXPERIENCE IN SAMARPAN ASHRAM, DANDI
1. From (date) ___________________ to ______________________ (date)
Details about work done : ________________________________________________
_______________________________________________________________________
2. From (date) ___________________ to ______________________ (date)
Details about work done : ________________________________________________

_______________________________________________________________________

APPROVALS
Fathers approval : Yes / No

Signature : _____________________________

Mothers approval : Yes / No

Signature : _____________________________

Spouses approval : Yes / No

Signature : _____________________________

Date : ___________________

Signature of Volunteer : __________________

RECOMMENDATIONS OF SAMARPAN MEDITATION CENTRE ACHARYA /

SANCHALAK / AREA HEAD
Name of Acharya / Sanchalak / Area Head :
_____________________________________
Telephone No. : _______________________ Mobile No. :
__________________________
Name of Meditation Centre :
___________________________________________________
Address of Communication :
___________________________________________________
E-mail ID :
__________________________________________________________________
Attendance of Sadhak at the Centre : Regular / Weekly / Fortnightly / Monthly /
During Functions
Acharya / Sanchalak / Area Heads comments :
__________________________________
____________________________________________________________________________
Date : ______________________

Signature : ___________________________________

____________________________________________________________________________

RULES AND REGULATIONS FOR THE VOLUNTEERS

1. Kindly come in the Ashram as a pious soul, leaving behind your education,
post, prestige, relations, status, caste etc.

2. Meals : Accept the food provided in the Ashram as Prasad (vibrated food).
Outside food is not allowed.

3. Residential arrangements : Separate residential arrangements are made for

ladies and gents. Instead of concentrating on the facilities, do concentrate on

the vibrations and consider it as Gurus Gift.

4. Age limit: Your age should be between 18 to 50 years.

5. Health : You should be physically and Mentally healthy.

6. Approval from family : You can stay in the Ashram after obtaining approvals
from all family members.

7. Contact : Outside contact through telephone or mobile phone is prohibited.

Going outside the Ashram premises is not allowed. Going to the sea shore is
prohibited without permission.

8. Behavior : Your behavior with other sadhaks should be full of love and at soul
level.

9. Luggage : Bring the least possible luggage. Do not bring valuables. You will be
responsible for the safety of your luggage. Mobile phones and cameras are

prohibited.

10. Dress Code : Short, Transparent, sleeveless and black clothes are prohibited.

11. Schedule : You are expected to honestly follow the schedule given to you.

Perform the work allotted to you in the best possible way without any

arguments. Complete the task assigned to you in time and with the feeling of
surrender.

12. Problems : Do not discuss personal problems and do not pollute your Chitta
(attention) with problems. Maintain thoughtless state.

13. Selection : Selection of forms will be done by the selection committee after
recommendations of Acharya / Sanchalak / Area Heads.

14. Forms : Acharyas/Sanchalak/Areas Heads are request to send completely filled

and verified forms at Samarpan Sadhak Nivas, 2nd Floor, Eru Abhrama Road,
Eru, Navsari 396450,Gujarat, India with title Anusthan 2013 Application Form
.

MEDICAL REPORT
1. Name of Sadhak : _____________________________________________________
2. Age of Sadhak : _____ Years; Height : ____ Ft. ____Inches; Weight : ____ Kg.
3. Blood test report (Routine, Microscopic, Sugar PPBS): ___________
______________________________________________________________________
4. Urine test report (Routine, Microscopic, Sugar)
:_____________________________
_____________________________________________________________________
5. Vision test report (Night Blindness) : ______________________________________
_____________________________________________________________________
6. Any Allergies : ________________________________________________________
_____________________________________________________________________
7. Any medicine consumed by the sadhak regularly (For BP, Diabetes, etc)
:______
_____________________________________________________________________
8. Doctors comments (if any): _____________________________________________
_____________________________________________________________________
9. Name of Doctor and Education :__________________________________________

10. Address and contact numbers of Doctor : _________________________________

_____________________________________________________________________
Date : ___________________

______________________
(Signature of M.B.B.S. Doctor with seal)

Note: Kindly attach the following reports with this form.

Blood Test (CBC, Serem Creatinine)

Blood Sugar (PPBS)

Urine Test (Routine, Microscopic)

E.C.G.