Yoga Registration Form

Please submit the following information so that we can process and reserve accommodation at
Parmarth Niketan Ashram for your stay with us while you are attending the Yoga Course. Please
submit your completed registration form to reservations@parmarth.com.
Name of Yoga Course:
Beginning Date of Course:
Arrival Date:

Beginner Foundation Yoga

June 1

May 31

End date of Course :

June 13

Approximate Arrival Time at the Ashram: After noon

Departure from the Ashram: June 14

Your Legal Name: [First]

Saurabh

Last: Somvanshi

Postal Mailing Address: A- 84 , 2nd floor , Gandhi Vihar near Mukharjee Nagar
City:

Delhi

PIN / ZIP / PC:

State / Prov / County:

110009

India

Country: India

Phone number with country and area codes:

Indian Mobile # if available: +919958272748
Email Address: Saurabh.sibu@gmail.com

Profession: Student

Highest level of formal education completed (for Yoga Instructor Course only):
Institution / School:

Year completed:

City:

Country:

Other training completed:

To assist with room assignments:
Gender / Sex:

Date of Birth:

Country of Passport:

India

Languages spoken:

Page 1 of 1

06/02/1987
Hindi , English