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Shiv Yog Club Formation Form
PresidentName (in Capitals):
Dr. Chandra shaker13/07/1955M
SYID SY40021
Vice PresidentName (in Capitals):
R.S8/12/1952
MSYID SY16890
SecretaryName (in Capitals):
ANURAG5/12/1970
MSYID SY22087
Number of Members to form Shiv Yog ClubThe minimum number of
members required to form a club is 30 Specify the number of members
of your club Nos 38
Shiv Yog Club Venue DetailsAddress
2/2 , Lane no 2 , Shastri Nagar , Dehradun -248001 Time Tick
whether the Venue is at :
Home TempleExternal VenueAny other Venue
(DOB: dd/ mm/ yyyy)(Gender: M/ F)
(DOB: dd/ mm/ yyyy)(Gender: M/ F)
(DOB: dd/ mm/ yyyy)(Gender: M/ F)
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Minimum Size of the room 300 sq. ft.
Please specify the details below: DetailsIf the room is being
used for any other activity Only For Shiv YogWhat arrangement for
Lighting do you have? 3 Tubelights, 4 CFLNo of Windows 2 WindowsNo
of Doors 2 DoorsNo of Fans 2 Fans,What is the colour of room? Light
Cream & Off whiteWhat kind of Carpet is there? Tiles
FlooringHow many Yantras are in your room? 1 Sri Yantra & 1
Mahamrityunjaya & 1 Sumangal Yantra(Specify if there is any
other painting in the room No
Audio / Visual ArrangementsDetails of LCD DetailsSize of LCD (
minimum is 42") LCD 42" & Projector with ScreenModel of the LCD
LGSound SystemNo of Speakers 2Model of the Speakers 150 Watt
Woofers IntexDVD PlayerModel of the player Universal DVD Player
For Power Back up you have:Generator ( name of Company)(it
should not create any disturbance) NoInverter ( name of company)
Luminous(It should be enough if the power goes off) 8-9 hours
backupDo you have Laptop? Dell Laptop
Is there any internet conectivity ?Name of the internet service
provider MTSWhat is the Data plan 40 GBWhat is the speed? 3G speed
(7.2 mbps)
Activities in your ClubShiv Yog Events
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Satsang DhyanWeekly DhyanShivanand Dayany other
Service to Nature and Mankind Durga Saptashati Shivir Kissan
ShivirSaraswati Deeksha
Cultural Activities ( Proposed) Kindly suggest the activities
you want to organize
Please provide at least three references of Shiv Yog Sadhaks
Reference 1:
Name Shashi BalaContact no 8126226936Address
Reference 2:Name Shalu RaniContact no 8958050968Address
Listrabad, Ranipokhari, dehradun, Pin-248145
Reference 3:Name Sanjay KaushikContact no 9897621995Address
36-Maharani Bagh, Dehradun Pin-248001
Chosen Members of Shiv Yog Club:
S no Name SYID Contact no Email ID1 Kavita Sisodia SY22083
94105426432 Punam Belwal SY20355 9997023433
Provide the contact details of all the thirty chosen members of
the Club. The SYID profile of all memebers should be complete with
their photo ID and address proof uploaded.
[email protected]@gmail.com
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3 Sushila Dabral SY40426 96392153964 pushpendra singh jarodia
SY16386 89094501585 Seema Gupta SY10060 98370799896 Shubhi Belwal
SY34190 81267098017 Chandra Shekhar Dimri SY40021 81276673138
Sushma Dingri SY9744 98976374249 R.S. Rana SY16890 9412402879
10 Hira singh rawat SY9692 971903767711 Kusum Deorani SY38425
941148605612 Satya Rawat SY36344 999755243613 Sumitra Rana SY16890
955700742714 Pyare Lal Dabral SY40425 963921539615 Hemlata Dabral
SY38428 941019234216 Akanksha Bahukhandi SY39711 812656755017
Sushmita Bahukhandi SY39712 945616686518 Anurag Sisodia SY22087
999715183019 Gajendra Dutt Belwal SY39120 983762505120 Suresh Gupta
SY10069 983701742621 Parul Gupta SY10006 980878000122 Shashwat
Uniyal SY28630 999758200423 Shobha Uniyal SY28634 819190108824
Ravindra Kumar Goswami SY11826 741736618225 Ram Kishore Jadli
SY23323 941014785926 Kavita Jadli SY23274 941014785927 Jyoti Negi
SY23325 9410147859 941117327428 Shefali SY20871 890971823329
Praveen Kumar garg SY12667 941057599730 B. P. Painuly SY2006
941207662831 Bina Painuly SY33271 941117470432 Vivek Painuly SY797
989790912033 Shashwat Uniyal SY28630 999758200434 Shobha Uniyal
SY28634 819190108835 Rajni Uniyal SY798 989790912036 Anuradha
Karnwal SY24734 976091263837 Savita Pal Sy14895 9557113250
[email protected] Vinod Bhasin SY13199 9412955550
[email protected]@newindia.co.in
[email protected]@gmail.com
[email protected]
[email protected]@gmail.com
[email protected]@gmail.com
[email protected]
[email protected]@rediffmail.com
[email protected]
[email protected]
[email protected]
[email protected]
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Request: Dear sir After talking/ Disscussion with all club
members . We have decided to change our president by the name of
Dr. So please accept this form/list as a final
form/list.ThanksNamaha Shivaya
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Shiv Yog Club Formation Form
Dimiri
RANA
SISODIA
Nos 38
2/2 , Lane no 2 , Shastri Nagar , Dehradun -248001
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Only For Shiv Yog3 Tubelights, 4 CFL
2 Windows2 Doors2 Fans,
Light Cream & Off whiteTiles Flooring
1 Sri Yantra & 1 Mahamrityunjaya & 1 Sumangal
YantraNo
DetailsLCD 42" & Projector with Screen
LG
2150 Watt Woofers Intex
Universal DVD Player
NoLuminous
Dell Laptop
MTS40 GB
3G speed (7.2 mbps)
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Shashi Bala8126226936
Shalu Rani8958050968
Listrabad, Ranipokhari, dehradun, Pin-248145
Sanjay Kaushik9897621995
36-Maharani Bagh, Dehradun Pin-248001
Email ID
Provide the contact details of all the thirty chosen members of
the Club. The SYID profile of all memebers should be
[email protected]@gmail.com
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9411173274
[email protected]
[email protected]@newindia.co.in
[email protected]@gmail.com
[email protected]
[email protected]@gmail.com
[email protected]@gmail.com
[email protected]
[email protected]@rediffmail.com
[email protected]
[email protected]
[email protected]
[email protected]
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Request: Dear sir After talking/ Disscussion with all club
members . We have decided to change our president by the name of
Dr. Dr. Chandra shaker dimri
Sheet1
