sadhak-form – Merge and Emerge

Sadhak's form

Sadhak's Name

Sadhak's Date of Birth

Sadhak's Email

Sadhak's Phone number

Parent's Name

Parent's Phone Number

Sadhak's Address

Sadhak's photo

Declaration from Sadhak

I have my family's consent for joining Merge and Emerge. I will be loyal to Merge and Emerge and learn dhyan with gratitude.

Smoking and Drinking Alcohol is not allowed

I do not smoke or drink alcohol. I smoke/drink alcohol. But I am ready to quit. I smoke/drink alcohol. I am NOT ready to quit.

Are you a part of any other spiritual organization?

Yes No

Which spiritual organization are you a part of?

I AGREE to the terms and conditions of Merge and Emerge.