FOR SANNYASA LIFESTYLE RETREAT

KARMA SANNYASA SADHANA RETREAT (8th June to 22nd July, 2023)

* Mandatory Fields / Attachments

1. Personal Details

Upload your photo*

Accepted file types: jpg, png, jpeg, Max. file size: 5 MB.

Legal name

First*

Middle

Surname:*

Spiritual name(if any)

Gender:*

Male

Female

Married:*

Yes

Date of birth*

Place of Birth*

Age:*

Residential Address (Street)*

City/State/Postal Code/Country*

Phone (Home/Mobile)*

Email Address*

Nationality*

Choose Identification Number*

Aadhar Number

Passport Number

Aadhar Number (Indian Nationals only):*

Passport Number (Foreign Nationals Only):*

Country of issue:*

Issue Date:*

Expiry Date:*

2. Application Details

INTENDED TRAVEL ITINERARY

NOTE: Must arrive before 3rd June & depart after 22nd July .

Arrival Date*

Arrival Time*

Mode of Transport*

Departure Date*

Departure Time*

Mode of Transport*

Travel Route to reach Rikhiapeeth, Deoghar

IMPORTANT: Short visits are NOT permitted - applicant must attend the entire retreat

3. Person to contact in case of Emergency

Legal Name:*

Relation to you:*

Phone (Home/Mobile)*

Email Address:*

4. Health Details

Do you have any Health Issues? Yes*

Yes

Please Specify (if any):*

Note: If accepted, you will be required to provide a medical certificate stating the same

Have you been Vaccinated for Coronavirus?

Upload your latest Covid-19 Vaccination Certificate*

Accepted file types: jpg, png, jpeg, pdf, Max. file size: 512 MB.

Note: Please attach copy of your vaccination certificate along with this application form.

Have you ever been tested as positive for Coronavirus:*

Yes

Date:*

Please list places you will visit within the month prior to arrival at ashram:*

5. Ashram Experience

Have you received any initiations in Satyananda Tradition?*

Mantra

Jignasu

Karma Sannyasa

Poorna Sannyasa

No, I have not received any initiations

Have you visited Rikhiapeeth before?*

Yes

Date of last visit*

How do you know about Rikhiapeeth?*

6. Additional Information

Occupation*

Special Skills or Qualifications*

All activities in Rikhiapeeth are conducted in the spirit of Seva.
While in the ashram, the use of laptops, mobile phones and cameras is strictly prohibited. We encourage you to store your valuables in the Safe Deposit to prevent unwanted loss of such items.
Trips to Deoghar will not be allowed during your stay, so you should bring all your personal necessities upon arrival, including toiletries, torch, alarm clock and loose, comfortable clothing.
Please note that we reserve the right not to admit you if it is found this application form/medical certificate contains any false statements, omissions, or other misrepresentations. Furthermore, you may be refused admission if found unsuitable for seva activities and the ashram lifestyle. Namo Narayan

8. Agreement

I affirm that the information provided is true and complete. I understand that during my stay at Rikhiapeeth I am required to maintain and follow ashram rules and disciplines and that failing to do so may result in immediate termination of my stay.

I Accept *

NOTE: THIS IS ONLY AN APPLICATION FORM. DO NOT PROCEED WITH YOUR JOURNEY TO ASHRAM WITHOUT AN ACCEPTANCE LETTER.

FOR KARMA SANNYASA SADHANA RETREAT