MORARJI DESAI NATIONAL INSTITUTE OF YOGAMinistry of AYUSH, Government of India

68, Ashok Road, Near Gole Dak Khana,New Delhi – 110 001

Phone: +91-11-23730417-18, 23351099, Telefax: +91-11-23711657

E-Mail: mdniy@yahoo.co.in website: www.yogamdniy.nic.in

A Curtain Raiser for International Day of Yoga-2017

March 08-09, 2017 at Talkatora Stadium, New Delhi

1. Mr./ Mrs./ Ms. ………………….……………………………….………………………….......…………………..........

2. Institute / Organization / Center………………………………………………………....................................................

3. (a) University / College ............................................................................................................................................

(b) Name of the Course studying .……………………………………………………..……..…...........................

4. Whether you are a Yoga Teacher / Sadhaka / Student / Any Other…………………………….....……………..................

5. Address for Correspondence (with postal code)………………………………………………..………………...............

……………………………………………………………………………………………………………………..……

……………………………………………………………………………………………………………………..……

6. Mobile :………………………………………………..…Tel:……………………………………….…………............

Email ……………………………………………………………………………………………………........................

7. Accommodation required: Yes / No : If yes, Please mention date ……………………………...........................................

8. Participating Event: a. Fest (08th & 09th March)…................. b. Yoga Workshops (10th March)….…...........................

9. Participating in Quiz / Elocution / Poster Presentation : Yes : No :

If yes, Write Event name……………………………………………………………………...........……….....................

10. Any other information: (Please enclose a separate sheet)

By Eminent Yoga Masters

March 10th , 2017 at MDNIY, New Delhi

Willing to Participate : Yes : No :

(Signature of the Applicant)

Signature of the forwarding authority with seal

Date

FOR OFFICE USE ONLY

(Signature of official)

INTERNATIONAL YOGA FEST

Reg. No. ……………………………….. Name ……….....................…………………………………………………………..

Place: ………………………………………………………………………………..……………………..……………………..

Accommodation: Yes : No :

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