HEARTFULNESS ESSAY EVENT-2022

Organized by d" d Bhutan and

Shri Ram Chandra Mission, United Nat ions lnforrn~tion Centerfor In ia an ,
Heartfulness Education Trust

PARTICIPANT INFORMATION SHEET

. the articipant and submitted along with the essay]
[to be filled in BLOCK LETTERS in ENGLISH only and signed by p

Name of participant ti_RR11_couutiL_

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Father's/ Mother's name :·_ tHUAt.Jt,,~Jl_\.£.)J)i. 1 v t-tA- R
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Date of birth ( dd-mm-yyyy )/Age: D ~ - ~q - 2A ra sta nd a rd :_ _ l~0~ - - - - - -

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Full name and address of School/ College_ - ~ _:c~G
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City / Town: (. l;\A2-LA6A f) Dist. : 61-\ A'2.lA8Al);tate : urrA:R PIN: 2010 \ 8

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Permanent Address of the participant f- 2O 2 J A-0 f Tf A M6 l.J\ GIJ "/ J ![ N ()~ RA PcJ
Cty /Town. l N DIR Pr:f>LJRffi.Dist.: (,f-i A2l A8Af) State.lJTTAR PIN: 2.()l O l&.f
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Email 10: MR,ou, A6ARWALjoo 9@6NAtL•lok ,Mobile/Tel: 2"\ 2.oooo, s- ~
(Tick in the applicable category)

Ja"Category 1 (14-18 .years) □ Category 2 (19-25 years)

Parental Consent for use of mobile id and telephone number for communication has been given .

LANGUAGE OPTED : GtJ6Ll ~ H Unique Code: _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

Through the submission of this Essay, the author grants and assigns all proprietary rights (Including copy-rights) to Shrl Ram Chandra Mission.
The assignment shall be deemed to be royalty-free, perpetual, worldwide and Irrevocable. Shri Ram Chandra Mission may subllcense Its rights
through multiple tic?rs of sublicenses and may use, reproduce, create derivative works from, modify, publish, edit, translate, distribute,
perform and display the communication or content in any media or medium, or any form, format or forum now known or hereafter
developed.

I he.reby declare that I am thE: sole pe!"Son who h~s written this essay. As I am permitted to quote from literature and research on the
topic, 1have given due credit to the ideas obtained from others or from any reference material.

~ -M.
Signat~ nt

1. The total number of wo rds must be mentioned on t he last page of t he essay and m ust not exceed f
Category I and 750 for Category 2. 500 or
2. Each page of t he essay must be signed by t he participant
3. The essay is to be either handwritten in blue or black ink only w ith no illustrations OR
· ca1I·bn· script
bl ac k co Ior, m • m • case of Enghsh,
. com puter typed in
and font size 12 only.
4. The essay to be sca nned as a single PDF fil e using document scan . This sheet d I f "II d .
scanned as page 1. oocument shou ld not exceed 3 pages. File size limit 3 M B. u Y I e and signed to be
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