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Diksha New

This document is a disciple data form for the International Society for Krishna Consciousness (ISKCON). It collects contact information, spiritual initiation details, current services offered to ISKCON, skills and how they are used or could be used to serve the organization. It asks for personal details like name, date of birth, address, marital status and profession. It also requests information on temple residence, when disciple exams were passed, and requires signature to verify accuracy.

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Gopeshvara Dasa
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2K views2 pages

Diksha New

This document is a disciple data form for the International Society for Krishna Consciousness (ISKCON). It collects contact information, spiritual initiation details, current services offered to ISKCON, skills and how they are used or could be used to serve the organization. It asks for personal details like name, date of birth, address, marital status and profession. It also requests information on temple residence, when disciple exams were passed, and requires signature to verify accuracy.

Uploaded by

Gopeshvara Dasa
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

INTERNATIONAL SOCIETY FOR KRISHNA CONSCIOUSNESS

Founder-Acarya: His Divine Grace A.C. Bhaktivedanta Swami Prabhupada


HH LOKANATH SWAMI MAHARAJA
DISCIPLE DATA FORM (official)
Radha Govind Dev Temple, ISKCON Noida, A-5, Agrasen Marg, Sector-33, Noida, Uttar Pradesh 201301, INDIA
Krishnabhakta Dasa Mobile: +91 9654209343 email: [Link]@[Link]
Dinanukampa Dasi Mobile: +27 827033980 email: [Link]@[Link]
Padmamali Das Mobile: +91 8980636683 email: [Link]@[Link]
—————————————————————————————————————————————————————

□ Harinama Diksa □ Brahman Diksa


Please stick
Spiritual Name:
your passport size
Date of Initiation: / / color photo here

Place of Initiation:

How can you contribute to the Srila Prabhupada’s Movement?

Which of your skills/hobbies/talents are being used in the service of ISKCON?

Which skills would you like to acquire in future for the service of Lord ?

What devotional services are you rendering?


Your Counselor’s name:

PERSONAL DETAILS:

First Name: Last Name :

Date of Birth: Nationality:

E-mail: Mobile number:

Address :

Civil Status: □ Single □ Married □ Brahmacari

TEMPLE RESIDENCE: □ YES □ NO. If Yes, Name of Temple:

Profession:

When and where did you pass your ISKCON Disciple Course and Initiation Exams?

I hereby declare that this form represents a true and accurate statement about myself.

Date: Place: Signature:

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