Students Retreat Application Form Ramakrishna Mission Institute of Moral and Spiritual Education

Students Retreat Application Form

Ramakrishna Mission Institute of Moral and Spiritual Education

Yadavagiri, Mysore, Karnataka, India

Personal details

Name: NRIC

Address:

Postcode:

Home phone: Mobile:

E-mail:

Name of your parent/guardian: NRIC:

Address (if the address is different from yours):

Postcode:

Home phone: Mobile:

E-mail:

Telephone No. in case of Emergency:

If you have any ailments/allergies (food/medicines) or if you require special diet please write:

I, the parent/guardian of ______________________ , hereby authorize our child to participate in the Spiritual Retreat conducted by Ramakrishna Mission Institute of Moral and Spiritual Education, Mysore, and will not hold the Intuition responsible for any unforeseen mishap/accidents.

Name:

Date: