Noosphere Ukraine | Cosmic School

APPLICATION FORM
for participation in the course
2st stage "Inner vision"

to the project manager

Application for I would like to participate in the course 2st stage "Inner vision" in the
participation: series of Information development method (Bronnikov V.M.). I am
acquainted with safety precautions. The consultation schedule has been
clear and I undertake to attend classes without delay.

_____________________________ _____________
(full name) (signature)

Full name:
Country, city:
Date of Birth:
Address:

Skype:
E-mail:
Mobile number:

Occupation:

Hobbies and interests:

Your main goal in

participating:
State of health:

Have you had any practice

before (spiritual,
meditative, energetic):