VYAKTI VIKAS KENDRA, INDIA APPLICATION FORM – PRE TTC (To be filled clearly in CAPITALS by the candidate)

Date of Application: ______________________

Application no: IN0001

Full Name (in CAPITALS): __________________________________________

Please affix your Passport size photograph(Comp ulsory)

Date of birth: ___________ Time of birth:__________ M/F: ___ Marital Status (DD/MM/YY):_________________Blood Group: ____________ Present Address:___________________________________________________________ _______________________________City/District______________State_______________ Phone (R): __________________________ Phone (O): ____________________________ Mobile:______________________________ Email: ________________________________ Permanent Address: ________________________________________________________ _______________________________City/District______________State_______________ Phone (R): __________________________ Phone (O): ____________________________ Mobile:______________________________ Occupation: _______________________________________________________________ Institution / Company Name: _______________________________________________________________ Designation: _______________________________________________________________ Company Address(for Indian Candidates only): ___________________________________________________________________________ Educational qualifications: ___________________________________________________ Languages spoken fluently: __________________________________________________ Family responsiblities: ______________________________________________________ Have you ever been under psychiatric treatment? Y/N.

Specify:___________________________ Have you undergone any minor or major operation? Y/N Specify:________________ Any other ailments: ________________________________________________________ Are you taking any medicines? Specify _______________________________________ Are you habituated to (Please tick appropriate): Alcohol, Tobacco, Drugs, Non-Veg, Not applicable Difficulty in: Walking / Climbing / Games / Asanas / Any other __________________ Please mention details of programs attended by you : Place

City /

State

Date

Teacher

District First Part I Crs First Yes+ Crs First Part II Crs Second Part II Crs Sri Sri Yoga Crs Sahaj Meditation Course Any other Art of Living courses attended (Please tick mark appropriately): Healing Course, Eternity Process, YES / Art Excel , APEX, Sri Sri Yoga / TTC1 / TTC2/ YLTP Ph 1 / Ph 2, PDS with Gurudev, Utsah / Utsav, Blessing course Any other Self-development workshops: ___________________________________________________________________________ How much time can you devote to AOL? Full time / Part time Are you teaching any other spiritual practice, self-development or healing program? Y/N. If yes, specify:__________________________________________________________

Are you affiliated with any other NGO / Service Organisations? Y/N If yes, specify:______________________________________________________________ In not more than 100 words, write why you want to undergo the Pre TTC program?

___________________________________________________________________________ DECLARATION : I declare that all the information given above by me is true and I am participating in the Art of Living Pre Teachers Training programme on my own with the consent of my family. I take full responsibility for participating in this program. I release Vyakti Vikas Kendra and Ved Vignan Mahavidyapeeth, all organisers and assistants from all damages whatsoever and waive all right to compensation in case of injury. I declare that, I am physically and mentally able to participate in this programme. I will not teach any techniques of the programme or otherwise disclose contents of the same to any person, unless I have been fully trained by His Holiness Sri Sri Ravishankar and am given a written permission to do so by Vyakti Vikas Kendra India. I understand fully that participation in Pre Teachers Training program does not entitle me to start teaching the programs nor does it mean that I will be selected for the TTC __________________________________________________________________________________________ Signature of Candidate :____________________ Place : __________________ Date _________________ __________________________________________________________________________________________ For Office Use only Comment of the recommending teacher on the Pre TTC candidate __________________________________________________________________________________________ __________________________________________________________________________________________ Full Name _______________________________________________Teacher Code : ___________________ Signature :________________________ Place : _______________________ Date _____________________ Comment of the Pre TTC teacher on the candidate post completing the Pre TTC program __________________________________________________________________________________________ __________________________________________________________________________________________

Selected / Not Selected : ____________________ Full Name _______________________________________________Teacher Code ____________________ Signature ________________________ Place : _______________________ Date______________________

Important note: Applying for Pre-TTC Applicants are not to mail the application directly. They should hand it over to the Apex Body office directly. The STC will scrutinize all the forms post receipt. Applicants will receive a call letter from the STC and the Apex body for attending the Pre TTC program Applying for TTC 2. On completion of the Pre-TTC training, applicants are not to mail /apply for the 15 day TTC application directly to anyone. They should hand over both the Pre-TTC Interim Seva Report (in the reporting format only) along with the 15-TTC Application only to the Apex Body office. The State Teachers Coordinator will scrutinize the form and give his recommendations. The forms will then be sent by the Apex office to the TTC desk Bangalore. Applicants will receive a call letter for attending the TTC from the TTC Desk with a copy to the State Apex Body and the STC.