Devrukh Spiritual Prowess Private Limited

Name of the Program	Program Date	Venue	Eligibility	Fees
WISE	10^th and 11^th September 2019	Chitrapur Math, Karla, Lonavala	Ladies above 18 years of age	1,600

Bank Details for online payment:

Devrukh Spiritual Prowess Pvt Ltd.
Bank: HDFC Bank Ltd.
Account No: 50200028560706
IFSC Code: HDFC0000149

Cheque Payment:

Cheque to be drawn in favor of "Devrukh Spiritual Prowess Pvt. Ltd."

Program Venue :

Room Type :

Name :

Date of Birth :

Gender :

Address :

City :

State :

Pincode :

Contact Number :

Mobile Number :

Email Address :

Any physical Ailments? :

Food Preference, if any: :

Program Fees (in Rs.)

₹

.00

Payment Mode : Cash Cheque/DD NEFT/Bank Transfer Paytm

Paid By :

Cheque/DD No. :

Cheque/DD drawn on :

Branch Name :

NEFT/Bank Transfer Reference No. :

Paytm Reference No. :

Date of Payment transaction :

For Cash/ Cheque payment via deposit in bank, please mention the Amount, Date of deposit, Cheque no., Bank & Branch name
For online payment, please mention the Amount, Transaction reference no., Date of transaction, Bank & Branch name
For other modes of payment, please mention the Transaction details with Amount, Date etc.

For further instructions and guidelines to parents regarding this program, please refer – link once the registration process is over.

Registration Form for WISE Program