Awareness Retreat at Benares

Registration Form

Organized By: Awareness Foundation Dates: 28th March to 1st April, 2024

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Name: ANJALI RAJGURU email: rajguru.ashok@gmail.com

Gender: Male Female x

Address: B 313 ATHASHRI, FOREST TRAILS TOWNSHIP, BHUGAON,

City: PUNE State: MAHARASHTRA Country: BHARAT

Contact No: 9958559121 Emergency No: 8308851274

Date Of Birth: 04 DEC 1958 Profession: COUNSELLOR

Room Booked: Single Sharing Double Sharing X

Special Need:

Participated in any program of Awareness Foundation: Yes X No

Program name of Participation: Meditation - Gateway

Expectation from Retreat:

All the above statements given by me are true

Signature: Date: 07 Mar 2024

Anjali RajGuru
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