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Date:

Center:
DID(MemberID):

Acceptance and Commitment form


Hare Krishna.
I,__________________________________,counselee of
___________________________________, having received Harinam Initiation
from HH Radhanath Swami Maharaj in the year_______would like to express my
willingness to accept Brahmin Initiation to improve and expand my commitment
and services in the mission of Srila Prabhupada. I have completed my ISKCON
Disciple Course in the year_______ in case I have not completed Iskcon Disciple
course, I commit to complete this by _____. I have completed /registered for
Bhakti Shastri Course with details below:
Year of registration: _________;
Year of completion: _________;
Batch No: __________________;
Primary Teacher: ____________________.

In case I have not completed Bhakti Shastri course I commit to complete it by


___(Month/Year)

I would also like to participate in deity services for about ____________ hours per
week.
Type of Services, I would like to render:
o Bhoga cooking
o Aartis
o Dressing seva
o Others:
_______________________________________________________

I am grateful for being considered a candidate for this gift of Brahman Initiation.
Thank you very much.
Your servant,

________________
(Signature)
Date:

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