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yogausa.com - Request Online Deeksha


Please read the instructions carefully before proceeding with the request:

  1. Fields marked with (*) are compulsory.
  2. Please provide correct information in the forms. Do not enter any blank values or provide any dummy or invalid informations. The request will be cancelled, if any invalid or blank information is found in the registration details.

First Name:*
Enter your first name.
Last Name:*
Enter your last name.
Spiritual Name:
Enter your spiritual name (if any).
Address*
Enter your proper contact address.
Country:*
Select your country from the list.
State:*
 
Select your state/region from the list. If your state/region is not in the list, then please select the nearest state, from the list, and specify your STATE in the address box above.
City:*
 
Select your city from the list. If your city is not in the list, then tick mark other city, and type your city name in the box provided.
Phone Number:
Enter all types of contact numbers that you would like to provide us (optional)..
Mail-ID:*
Enter a valid email id. Request would get cancelled if any invalid mail id is found.
Marital Status:*  Un-Married
 Married
 Divorced
Select your current marital status
Gender: *  Male
 Female
Select your gender
Religion:*
Enter your religion like hindu, christian, etc..
Age:*
Enter your age.
Birth Date:*
Enter your birth date (day - month - year).
Birth Time:
Enter your birth time (optional)
Birth Location:
Enter your location of birth (optional)
Zodiac Sign:*
Specify your zodiac sign (optional)
Ishta Devta:
Specify your ishta devta (if any, its optional)
Kula Devi/Devta:
Specify your kula devi's/devata's name (optional)
Online Deeksha:*  Do you want to get online deeksha from the Guru ?

Deeksha With Guru:*  Do you want to get deeksha in the presence of the GURU ?

Spiritual Name:*  Do you want to get a new Spiritual Name for you ?

Guru-Mantra:*  Do you want to get Guru Mantra ?

Get Sanyasa:*  Do you want to get sanyasa ?

Get Grahasta Sanyasa:*  Do you want to get grahasta sanyasa?

Previous Deeksha Taken:*  Yes, I have taken deeksha previously from a Guru ?

Deeksha From:*
Specify the name of Guru from whom you took deeksha previously.
Deeksha Type:*
Specify the type of deeksha you had taken previously.
Deeksha Date:*
Specify the date you had taken deeksha previously.
Deeksha Location:*
Specify the location you had taken deeksha previously.
Yoga Practice:*
Specify the number of years for which you have practiced yoga. Specify '0' if none.
Pranayam Practice:*
Specify the number of years for which you have practiced pranayam. Specify '0' if none.
Yoga-Asana Practice:*
Specify the number of years for which you have practiced yoga-asana. Specify '0' if none.
Spiritual Books Read:
Specify list of spiritual books read by you (if any).
I accept that all the details, specified above, are correct to the best of my knowledge.

 

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