Sunday, July 22, 2012

Tulasidalam School Of YOGA Pada

Tulasidalam School of Yoga Pada,Tulasidalam samskarika kalakendra.
Sreeramashram ,
Thelliyoor p.o Pathanamthitta, kerala, India, 689544.

Course applying for:
(please attach
color passport size photo)

Course Date:

Personal Information

Full Name (in block letters):

Gender: M / F:

Permanent address (as in passport):

Postal address:

Email address: Phone no:

Date of birth:(dd/mm/yy):

Occupation: Marital status:

Medications if any:
(anti-depressants,Diabetes etc)
Emergency contact:
(Address and Phone no: )
Your yogic path and reasons:
The information is true and complete to my knowledge.

Please email the completed form to


Use the full address of the center if you are mailing the hard copy.