REGISTRATION FORM - LAST DATE – JANUARY 25, 2007
SPECIAL LECTURES AND WORKSHOP ON
CONSCIOUSNESS, SPIRITUALITY, AND WELL-BEING
February 12th to 17th, 2007
INSTRUCTION: Take a print out, fill in the form, sign (original signature required) and mail it along with DD to Prof. S. K. Kiran Kumar, Chairman, Department of Studies in Psychology, Manasagangotri, Mysore – 570006.
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GENDER |
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FEMALE |
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INSTITUTION |
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ADDRESS - OFFICIAL |
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ADDRESS - RESIDENTIAL |
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ADDRESS - E-MAIL |
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PHONE NUMBERS |
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DD DETAILS |
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ACCOMMODATION REQUIRED |
YES |
NO |
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