Apply for Mai-Tri Healing PERSONAL DETAILS Full Name (required) Date of birth (required)---01020304050607080910111213141516171819202122232425262728293031---JanFebMarAprMayJunJulAugSepOctNovDec---1932193319341935193619371938193919401941194219431944194519461947194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619981999200020012002200320042005 Nationality (required) ---IndiaMalaysiaSingaporeHong KongJapanChinaUAEUSAUKCanadaAustraliaSerbiaRomaniaCroatiaMacedoniaBosniaRussiaHungarySpainGermanyFranceSouth AfricaNew ZealandOther Email address (required) Postal address - Please include your full address. If you get accepted into the program, we may send membership documents to your address (required) Gender (required) MaleFemale Country of birth (required) ---IndiaMalaysiaSingaporeHong KongJapanChinaUAEUSAUKCanadaAustraliaSerbiaRomaniaCroatiaMacedoniaBosniaRussiaHungarySpainGermanyFranceSouth AfricaNew ZealandOther Current country of residence (required) ---IndiaMalaysiaSingaporeHong KongJapanChinaUAEUSAUKCanadaAustraliaSerbiaRomaniaCroatiaMacedoniaBosniaRussiaHungarySpainGermanyFranceSouth AfricaNew ZealandOther Phone / Mobile (required) Passport photo - only JPEG, JPG or PNG files < 2MB. Preferred format for filename (required) 2. PAST PRACTICES Have you ever participated in any programs or activities of Mohanji Foundation? If yes, please specify what kind of activities and for how many months/years. Have you ever practiced other healing methods/practices in the past? If so, please explain? 3. LIFESTYLE Are you a vegetarian or vegan? (required)YesNo Do you have any addictions (to nicotine, alcohol, drugs)? (required) How much time per day/per week do you dedicate to your spiritual practice? (required) Have you been initiated into Mohanji’s Consciousness Kriya? (required)YesNo Do you attend Mohanji’s weekly meditations?YesNo 4. EXPECTATION What do you expect to achieve with the practice of Mai-Tri Healing? (required) What is your possible commitment to the Mai-Tri Healing practice (hours per day or week)?(required) 5. RECOMMENDATION How did you hear about Mai-Tri Healing? (required) 7. SPIRITUAL JOURNEY AND DESTINATION Kindly write a short essay about your spiritual journey and what destination you hope to reach (minimum 200 words). Please note that there is no right or wrong answer. We simply would like to get to know you better. (required) COMMITMENT CONFIRMATION I hereby agree that I will keep the methodology of Mai-Tri Healing sacred and confidential. I hereby agree that I will adhere to the guidelines stated in the Mai-Tri Healing SOP in full and not mix other forms of healing into Mai-Tri Healing. I hereby agree to charge for Mai-Tri Healing on the basis of voluntary donation and that I will leave 50% of the amount received to be submitted to the nearest Mohanji Foundation/centre, with obligation to report the collected and submitted amount to firstname.lastname@example.org every 3 months. I hereby confirm that all information provided by me is correct and true and that I bear all responsibilities and possible consequences of practicing Mai-Tri Healing. I hereby agree that Raja Yogi Mohanji, Mohanji Foundation, any of the people or venues associated with Mohanji shall not be responsible for any of the possible consequences related to the initiation to Mai-Tri Healing. I hereby agree that I release Mohanji, Mohanji Foundation, all organizers and assistants from all damages whatsoever and waive all rights to compensation in case of injury or loss of any kind. I understand that contributions are not refundable and registrations are non transferable. I welcome supporting Mohanji Foundation and its associates by enabling them to use my images, if necessary, and video footage in its publications and media placements. Date of application (required)---01020304050607080910111213141516171819202122232425262728293031---JanFebMarAprMayJunJulAugSepOctNovDec---20162017201820192020 Location (required) Please review if all mandatory questions are answered before you submit your application. Kindly note that we only accept fully completed applications with all questions answered and a passport picture included.