Application Form
(For social media camp)
FULL NAME
*
Name required.
FATHER'S NAME
*
Father's Name required.
NATIONALITY
*
Only characters allowed
Age: (On 1st Jan 2019)
Valid year required.
FULL ADDRESS
*
Address required.
STATE
*
--Select State--
Andaman & Nicobar Islands
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra & Nagar Haveli
Daman & Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu & Kashmir
Jharkhand
Karnataka
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Orissa
Pondicherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Tripura
Uttar Pradesh
Uttaranchal
West Bengal
State required.
District
*
--Select District--
District required.
CITY
*
--Select City--
City required.
PIN
CONTACT NO.(MOBILE 1)
*
Mobile no. required.
Please Enter Valid Mobile No
CONTACT NO.(MOBILE 2)
Please Enter Valid Mobile No
WHATSAPP NO.
Please Enter Valid no.
EDUCATION QUALIFICATION
Only characters allowed
PROFESSION
Only characters allowed
E-Mail ID
*
Invalid EmailId
EmailId required.
Facebook ID (URL)
*
Facebook ID required.
Number of followers / Friends
Number of friends added in Facebook
Facebook Page (if any)
Number of likes
Twitter ID
Number of followers
Youtube Channel Name (If any)
No of Subscribers
Instagram Account Detail
No of followers
Pinterest Account Detail
No of followers
Linkedin Account Detail
No of connections
Wikipedia Account (If any)
No of Edits
Have you Quora Account (If any)
No of followers
How many people are connected with your Whatsapp Group?(If any)
HOW LONG YOU ARE CONNECTED WITH BHARAT SWABHIMAN & PATANJALI YOGPEETH?
AT PRESENT, WHAT RESPONSIBILITY YOU HAVE IN ORGANIZATION?
HOW MUCH TIME YOU CAN DEVOTE EVERY DAY FOR SOCIAL MEDIA WORKS?
ARE YOU CONNECTED WITH ANY POLITICAL PARTY OR ANY OTHER SOCIAL ORGANIZATION,IF YES GIVE DETAILS-
ARE YOU RUNNING YOG CLASS OR PRACTICE YOG EVERYDAY?
WHERE YOU HAVE TAKEN FORMAL YOG TEACHERS TRAINING?(PATANJALI YOG SAMITI DISTRICT LEVEL OR PATANJALI YOGPEETH HARIDWAR)
HAVE YOU TAKEN YOG TRAINING IN PATANJALI YOGPEETH BY PUJYA SWAMI JI?IF YES, MENTION MONTH OR YEAR.
ANY OTHER DETAIL ? i.e. WEB DESIGNING/PHOTOSHOP/TRANSLATION/APPS DEVELOPMENT ETC.
Applying as individual or Refered by Samiti.
individual
Refered by Samiti
I hereby declare that the information furnished by me is true & correct to the best of my knowledge.I will follow the term & conditions of Bharat Swabhiman & Patanjali Yogpeeth, Haridwar.
Please check the Terms & Condition.
