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    Diksha New

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    Gopeshvara Dasa
    This document is a disciple data form for the International Society for Krishna Consciousness (ISKCON). It collects contact information, spiritual initiation details, current services offered to ISKCON, skills and how they are used or could be used to serve the organization. It asks for personal details like name, date of birth, address, marital status and profession. It also requests information on temple residence, when disciple exams were passed, and requires signature to verify accuracy.

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    Diksha New

    Uploaded by

    Gopeshvara Dasa
    907 views2 pages
    This document is a disciple data form for the International Society for Krishna Consciousness (ISKCON). It collects contact information, spiritual initiation details, current services offered to ISKCON, skills and how they are used or could be used to serve the organization. It asks for personal details like name, date of birth, address, marital status and profession. It also requests information on temple residence, when disciple exams were passed, and requires signature to verify accuracy.

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    This document is a disciple data form for the International Society for Krishna Consciousness (ISKCON). It collects contact information, spiritual initiation details, current services offered to ISKCON, skills and how they are used or could be used to serve the organization. It asks for personal details like name, date of birth, address, marital status and profession. It also requests information on temple residence, when disciple exams were passed, and requires signature to verify accuracy.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    907 views2 pages

    Diksha New

    Uploaded by

    Gopeshvara Dasa
    This document is a disciple data form for the International Society for Krishna Consciousness (ISKCON). It collects contact information, spiritual initiation details, current services offered to ISKCON, skills and how they are used or could be used to serve the organization. It asks for personal details like name, date of birth, address, marital status and profession. It also requests information on temple residence, when disciple exams were passed, and requires signature to verify accuracy.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    INTERNATIONAL SOCIETY FOR KRISHNA CONSCIOUSNESS

    Founder-Acarya: His Divine Grace A.C. Bhaktivedanta Swami Prabhupada


    HH LOKANATH SWAMI MAHARAJA
    DISCIPLE DATA FORM (official)
    Radha Govind Dev Temple, ISKCON Noida, A-5, Agrasen Marg, Sector-33, Noida, Uttar Pradesh 201301, INDIA
    Krishnabhakta Dasa Mobile: +91 9654209343 email: krishnabhakta.Lok@pamho.net
    Dinanukampa Dasi Mobile: +27 827033980 email: dinanukampa.LOK@pamho.net
    Padmamali Das Mobile: +91 8980636683 email: Padmamali.LOK@pamho.net
    —————————————————————————————————————————————————————

    □ Harinama Diksa □ Brahman Diksa


    Please stick
    Spiritual Name:
    your passport size
    Date of Initiation: / / color photo here

    Place of Initiation:

    How can you contribute to the Srila Prabhupada’s Movement?

    Which of your skills/hobbies/talents are being used in the service of ISKCON?

    Which skills would you like to acquire in future for the service of Lord ?

    What devotional services are you rendering?


    Your Counselor’s name:

    PERSONAL DETAILS:

    First Name: Last Name :

    Date of Birth: Nationality:

    E-mail: Mobile number:

    Address :

    Civil Status: □ Single □ Married □ Brahmacari

    TEMPLE RESIDENCE: □ YES □ NO. If Yes, Name of Temple:

    Profession:

    When and where did you pass your ISKCON Disciple Course and Initiation Exams?

    I hereby declare that this form represents a true and accurate statement about myself.

    Date: Place: Signature:

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