Vivekananda Kendra ॐ Shibir Enrolment Form

Enrolment Form : Yoga Certificate Course

From :- 1-May / 22-Nov To :- 31-May / 21-Dec

1. Name (in CAPITAL):-

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Present Address:-
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Phone:- (Resi) : ......................................... (Office) .......................................

Mobile:- ................................................. Whatsapp :- ………………………………...

Email :- ................................................. Website:-……...........................................

2. Gender : Male / Female 3. Marital status :-

4. Date of Birth :- ………………………………………………………………

5. Languages you know :-

Read :- ............................. , ............................. , ............................... ,

Write :- ............................. , ............................. , ...............................,

Speak :- ............................. , ............................. , .............................. ,

6. Educational qualifications :-
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7. Occupation:-
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8. Name of the organization :-

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9. Source of your information about this course :- ………………………………………

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 10. Have you attended any Yoga courses before? (Give details if any):-

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11. If you are associated with any spiritual/cultural/service organization, give details.

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12. If you are suffering from any of the following ailments, please give details:-

Heart ailments: -
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Diabetes: -
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Spondylitis: -
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Any other (specify) :-

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13. Have you undergone any major surgeries? If yes, please give details:-

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14. Please specify your purpose in attending this course :-

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I declare that the information furnished above is correct and complete. I have read all the
instructions regarding the course and I undertake to abide by the discipline of the course.

Date : ……………… Place : …………………

Signature of the Applicant

Remittance Details for ₹ 10,000/- (Ten Thousand Only)

Offline mode : Instrument No. :- ………………… Dated :- ……… Bank Name :-…………..

Online mode : UTR No. ………………….. Date:- ………....... Bank Name :-………………….
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 :: General Instructions ::

1 Skill Training- One month In-house training (theory & Practical) at sprawling
Vivekanandapuram campus in Kanyakumari
o Bring your all personal usage items like, toiletries, writing materials and
medicines (if any).
o Practicals would comprise of :
▪ Loosening exercises, Suryanamaskaar, Asanas, Pranayama, Kriyas
▪ Teaching Techniques

2 Practical Training: After attending this one month residential programme the
participants would be organizing and conducting three Yoga Satras (10/15 days
duration) at their home town in coordination with the local branch centre of
Vivekananda Kendra with minimum of 15 participants.

3 Team Dynamics: After attending Practical Training, participants would be part of

the organizing team for Yoga Shiksha Shivir at Kanyakumari, Nashik or Nagdandi
(J&K) where in participants from all over the nation participate.

4 After successful completion of Team Dynamics, conducting of the Yoga Shiksha

Shivir, and passing in the written the examinations based on syllabus, certificate
would be awarded.

5 Total Course duration: 6 Months

6 Participants should bring their necessary bedding, writing materials, toiletry articles
needed for entire one month duration of the Shibir. Camp is fully residential.

7 Prescribed dress for Yogasana Sessions:

For Gents : Any light colour loose T-Shirts and Track suits/Shorts.
Apart from Yogasana and Shramanubhava sessions shorts are not
allowed for the other sessions.
For Ladies : Any light colour Salwar and Kameez i.e. Punjabi dress. Tight dress
or Jeans are not allowed.

8. Participation in all the sessions in time is compulsory for all the participants.

9. Participants should report at Shibir office on one day before (21-Nov / 30-Apr) latest
by 5p.m. and can leave only after 2p.m. on last day (21-Dec / 31-May)

10. Going out of the campus venue, smoking, chewing of Paan / Paan-Masala,
consumption of tobacco / alcohol or any other intoxicants are strictly prohibited.

For successful completion of the Shibir,

adherence to above instructions is necessary
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 Know Your Tentative Daily Routine
4.30 Wake Up
5.15 Pratahsmaran
5.30 Yogasanas
7.00 Pranayama
7.30 Gita Recitation
7.50 Breakfast
8.30 Shramanubhava
10.00 Lecture-I
11.00 Group Discussions
12.30 Lunch
14.15 Chantings & Songs
15.00 Tea Break
15.20 Lecture-II
16.30 Yoga Practices
17.45 In tune with Nature
18.30 Bhajans
19.20 Supper
20.15 Prerana se Punaruthan
22.00 Lights Off

For any query related to Yoga Certificate Course plz drop an email to coordinator at
ycckk@vkendra.org

Address of communication for registration & reporting:

Vivekananda Kendra
Training Center, Vivekanandapuram,
Kanyakumari – 629702 (IN)
Phone: +91 4652 247012
E-mail: camps@vkendra.org
Web : https://vrmvk.org/camps

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