VEDA VIDYA GURUKULAM, SRIRANGAM

Name of the Vidyarthi *

Year for which admission is required *

Date of Birth

Your Age is

Gothram *

Father's / Guardian's Name *

Mother's Name *

Which Standard Are You Studying in School *

Veda *

Sanskrit Language Known *

Other Languages known *

Gopi-chandana Nama Mudra and Sandhyavandana Known: (Rate yourself A-High B-Medium C-Low) *

A (High)

B (Medium)

C (Low)

Devara Puja Known: (Rate yourself A-High, B-Medium, C-Low) *

A (High)

B (Medium)

C (Low)

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City

State*

Pin Code

Mother's Contact Number*

Father's Contact No

Night Stay at Gurukulam Premises (or) at Local House in Srirangam*

Gurukulam Premises

Local House in Srirangam

Relative's Name at Srirangam *

Contact Address at Srirangam

Local (Srirangam) Contact Number

Alt. No

Any Other Remarks: