YOGA KENDRA

(West Bengal Coouncil of Yoga and Naturopathy )

RAMAKRISHNA MISSION ASHRAMA SARGACHI
( A Branch Centre of Ramakrishna Mission, P.O – Belur Math, Dist- Howrah, pin- 711202, WB)
P.O-Sargachi Ashrama Dist– Murshidabad (W.B), Pin -742408
Phone no.-(03482)232301, fax-(03482)23230

APPLICATION FORM FOR ADMISSION TO CCYN

Note : All entries should be made by the application in block letters

Name in full : ………………………………………………………………………………………………………………..

Present Address : ………………………………………………………………………………..
Passport size
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Recent
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Pin code : ……………………………………
Phone No : ……………………………………
Permanent Address : ……………………………………………………………………………….
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Date of Birth : ………/………./………… Age : …………….. Sex : …………(M/F)
State : ………………………………………….. Religion : ……………………………………… Caste : ………………………………….
Name of the Parent : Sr/ Smt: ………………………………………………………………………………………………..
Qualification:…………………………………………………………

Are You interested in Yoga and Naturopathy : Yes No

DECLARATION BY THE APPLICANT

I ……………………………………………………………………………………………………………………….…….(Name in full) son of

………………………………………………………………………………………..hereby solemnly declare that the information
furnished and the statement given in the application and the enclosures are true and complete.
I shall abide by the rules and regulation of the Ashrama.

Place : ……………………………………………….

Date : …………/…………./……………. Signature of the Application