Maulana Azad Centre for Indian Culture

YOGA REGISTRATION FORM

Mem. No._______________/2004

Rec. No. ____________________

(Please Tick Mark)

• a) Beg-I          b) Beg-II           c) Intermediate      d) Advanced                                                         

• NAME:______________________________________________

  AGE: ___________        Yrs.                Male                                    Female

• PROFESSION:________________________________________

• ADDRESS:___________________________________________

  TEL: (R) __________        FAX: __________        (OFF.) __________ (Mob.) __________

• NATIONALITY:________________________________________

• PASSPORT/ID No.:_____________________________________

• Please tick the aspect (s) of yoga you are interested in:

1. Physical Fitness & Health awareness                                

2. Mental Health & Mental Peace

3. Meditation & Spirituality

4. Yoga Therapy & Consultation

5. Yoga Philosophy & A Ideal way of living

GENERAL INFORMATION SHEET

[Please tell us about your interests]

1. How did you come to know about the YOGA PROGRAMME of MACIC

________________________________________________________

2. Do you know that MACIC conducts other Activities?

(Indian Film Shows / Film Club / Indian Music Club / Hindi & Urdu Classes / Exhibition of Work of Arts / Library)

(Please tick if you are interested in any of the above.)

3. Are you interested in Indian History / Society / Philosophy / Religion / Polity / View on World Affairs / Systems of Medicine?

(Please tick your area(s) of interest)

4. Have you read any book on India: ________________________ 

(You are welcome to join MACIC Library to read books on India)

5. Have you ever been to India? If yes, what are your impressions? Do you plan to visit India in near future?

________________________________________________________

6. Would you like to be on the “Mailing List” of MACIC activities? (Please tick mark the area(s) of interest)

Indian Film Shows / Indian Music / Art Exhibitions / Lectures & Discussion / Indian Music Classes / Indian Cookery Classes / Indian Music Therapy

7. Your hobbies, Please __________________________________

PLEASE NOTE

1. Schedule of classes for Yoga shall be prepared by the Centre and the Centre reserves the right to change the schedule at any time. 

2. Fees paid for any purpose shall not be adjusted / refunded.

3. All students should abide by the rules and regulations of the Centre. If anybody violates these rules He/She may be asked to discontinue attending the activities at the Centre and no refund will be allowed.

4. Centre will observe all the holidays as per the list of holidays observed by the Embassy of India.

5. The list of holidays is subject to change at short notice.

(Signature)

Place: ____________

Date:  ____________

NOTE: THE FORMS ARE TO BE PERSONALLY DEPOSITED AT THE CENTRE.

ADDRESS.

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