To enrol, please print this form, fill it, take it to the Convenor of the nearest Samithi.
Please click here for the list of Convenors.
APPLICATION FOR PARTICIPATION IN "SAI YOUTH ACTIVITIES"
                             BANGALORE URBAN DISTRICT

1 Name of the Youth : ___________________________________________

2 Residential Address :                             3 Office Address :
    ____________________________        ____________________________
    ____________________________        ____________________________
    ____________________________        ____________________________

4 Contact  - (Res)  _______ (Work) _______  5 Email - ________________

6 Age & Date of Birth : _________________   7 Edu Qualification : _______

8 How long have you been a devotee of Bhagawan Sri Sathya Sai Baba ?
    ____________________________________________________________

9 Are your parents/relatives devotees of Bhagawan Sri Sathya Sai Baba ?
    _____________________________________________________________

10 Do you have any experience in Sevadal, Bal Vikas or any Service Activities
     of Sri Sathya Sai Seva Activities ?
     ____________________________________________________________

11 Can you spare your weekly holiday for any of Sai service activities ? :
      ____________________________________________________________

12 Name of the Samithi to which you are attached ?  : ___________________

13 Do you have any special talents ? :  ________________________________

      Date: ____________  Signature of the Applicant  _____________________
    

Signature of Convenor :                         Samithi's Name:
Convenor's Name:                                 Address:
Date: