Application Form

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The application form can be downloaded from the links given below.
 BPHS_Course.docx 50.10 Kb 29/11/2009
 BPHS_Course_small.pdf 197.25 Kb 29/11/2009
 BPHS_Program.doc 145.00 Kb 29/11/2009


Application Form

                                                                                                                                               

Application for

Parāśara Jyotiṣa Program

Affix Passport Size Photograph clearly showing face

Attest your signature across photograph

Attach two additional photographs with form

Name

 

 

 

 

First

Middle

Last

 

Spouse

 

 

 

(married)

First

Middle

Last

 

Father

 

 

 

(unmarried)

First

Middle

Last

 

Birth Date

DD/MM/YYYY

 

 

 

Birth Time

HH:MM AM/PM

 

 

 

Birth Place

Town, State, Country

 

 

 

 

 

Do you belong to SC/ST/OBC/UR/PH or any other socially backward or deprived community

ÿ        Yes (Proof attached along with annual income statement)

ÿ        Maybe (Annual income attached)

ÿ        No

Nationality

 

 

 

Passport

Number

 

Date of Issue

 

Place of Issue

 

Valid till

 

Present Postal Address

 

 

 

 

Permanent Address (if different from above)

 

 

 

 

Phone

 

Mobile

 

Email

 

Skype

 

Educational Qualifications (10th Grade, 'O' Level onwards)

Sl. No

Name of the Examination

Years

Board or

University

% of Marks

Div or Grade

Subjects

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Proficiency and background

ü  Are you proficient in English?

o   Yes, can speak, read and write in English ...

o   Somewhat, can speak, read and write but not very well. It is neither my mother tongue, nor my first language, nor was it a medium of instruction in my school ...

o   Partly, can only speak in English ...

ü  Are you proficient in Sanskrit, Hindi, Devanagari script? Mark the levels based on the three responses for English [indicate only one of ① ② ③]

Hindi                               

Sanskrit                          

Devanagari Script          

ü  Do you have any prior knowledge of Astrology?

o   I know Vedic Astrology

o   I know Chinese astrology

o   I know Western, Greek or other astrology [specify ................................]

o   I read horoscope in newspaper or magazine

o   No prior knowledge

ü  Are you computer literate? [tick all applicable]

o   I own a PC/Mac or other computer

o   I can download and install programs

o   I can use a word processor and type letters, essays

o   I can alter and create graphics, other pictures

o   I can browse WebPages, join Yahoo Groups and participate in Skype discussions

o   I am a geek!

Declaration

I affirm that information given in this application is true and correct. I also fully understand that if at any stage it is discovered that any attempt has been made by me to conceal wilfully or misrepresent the fact(s), my candidature may summarily be rejected or admission to the course be terminated. 

Place………………..................

Date ………………...................                                                                   Signature                

 

 

                                            

Full Name (Ink)

List attachments

........................................................................................................................................................................................................................................................................................................................................................................

For Office Use only (Do not write below this)

ü  2 Photographs attached

ü  Application Fee

ü  Form complete

ü  Computer

ü  Email

ü  Skype

ü  Chart notes

 

 


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