Deeksha Request

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Deeksha Request

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Date of Birth

Date *

Month *

Year *

Age *

Birth Time *

Birth Location *

Zodiac Sign *

Ishta Devta *

Kula Devi/Devta *

Details of Spiritual Practices undertaken

Specify years of Yoga Practice *

Specify year of Yogasana Practice *

Specify years of Pranayama Practice *

List the Spiritual books read, if any *

Spiritual Name (if any) *

Religion *

Marital Status *

Unmarried Married Divorced

Gender *

Male Female

Deeksha details

How do you want to get the Deeksha? *

In the presence of the Guru Online

Do you need a Spiritual Name? *

Yes No

Do you need a Guru Mantra? *

Yes No

Do you want to get Sanyasa? *

Yes No

Do you want to get Grahasta Sanyasa? *

Yes No

Previous Deeksha Details

Have you taken a Deeksha previously from a Guru? *

Yes No

Specify the name of the Guru from whom the Deeksha was taken *

Specify the type of Deeksha taken previously *

Specify the date when the Deeksha was taken *

Specify the location where the Deeksha was taken *

I accept that all the details provided above are correct to the best of my knowledge *

Yes

Submit

Contact Us

* Indicates required field

Name *

First

Last

Email *

Comment *

Submit

Map

Sri Laxmi Narayan Mandir
4615 George Road,
Tampa, Florida - 33634
Phone: 813-444-9786