Welcome

Sri Sathya Sai Seva Organisation
Mumbai

Sai Ram and Welcome to the Registration Page of the Dharmakshetra Website. We request you to take time and fill up the columns in this form. Information filled by you will fall in a permanent database which will allow the website team to give you information related to your interest and your Samitee. Incorrect iformation will require changes and our system does not allow online changes currently.

SAMITHI

PERSONAL DATA :

NAME

Mr. Mrs Ms.

Date of Birth

Blood Group :

RESIDENTIAL ADDRESS

PHONE NO/s :

country
dial code

area
code

FAX NO :

country
dial code

area
code

MOBILE NO

PERSONAL EMAIL ID 1
NOTE : WHERE WE COULD SEND A ALERT OR A EMAIL

PERSONAL EMAIL ID 2

OFFICE NAME & ADDRESS

PHONE NO/s (1):

country
dial code

area
code

PHONE NO/s (2):

country
dial code

area
code

FAX NO :

country
dial code

area
code

OFFICIAL EMAIL ID (OPTIONAL)

PROFESSIONAL / SPECIALIALIZATION

VOCATIONAL DATA :

i) SERVICE :

CENTRAL GOVT	STATE GOVT	MUNICIPALITY PUBLIC SECTOR
PRIVATE SECTOR	BANK	COLLEGE
SCHOOL	OTHER
Specify Other

ii) BUSINESS :

MANUFACTURING	TRADING AGENCY	OTHER
Specify Other

iii) PROFESSION :

DOCTOR	ADVOCATE	ARCHITECT
C/A	ENGINEER	OTHER
Specify Other

ORGANISATIONAL DATA :

(I) Active Member since

years.

(ii) Whether other members of family are Active Members

All Some Only Myself

(iii) Whether any child from your family is attending Bal Vikas Class :

No Yes

ACTIVITIES SELECTED :

a) SPIRITUAL :

Bhajan Leading Study Circle Conducting Nagar Sankirtan Leading

b) EDUCATIONAL :

Bal Vikas E H V Youth Programmes Vocational Guidance Youth Wing

c) MEDICAL :

O P D Centres Dispensaries Eye Clinic Medical Camps Oral Hygiene

d) SERVICE :

Slums improvement Service to handicapped Hospital /Old Age Visit Village Adoption Readership to Blind Dharmakshetra

Dharmakshetra Specify Activity

e) MAHILA ACTIVITIES

Agarbatti Protein Food Non formal Education

Name of the Samitee Co-Ordinator

Reference of a Member of the Sai Organisation

Name:

Tel

country dial code

area code

Email:

Registration enables automatic subscription to the following services. Please click on the service you would like to receive. All these services are through emails which would come to you in specific intervals.The email Address mentioned in the 'A.Personal Data' will be athe default or primary Email addess.

Youth Wing News Letter (Quarterly)
Youth Wing Mail List
Bhajan Mail List
Dharmakshetra Times (Weekly Mails relating to news from the Sai World)