Scientists and Engineers Wing (SEW) Brahma Kumaris, Shantivan, Abu Road. Biodata Form Registration No. : ..................................
Annual member
Life member
Not a member
Name (In Capital Letters): .......................................................................Date of Birth............................... Qualifications : ............................................................................................................................................ Profession/ Designation : ............................................................................................................................. Any other Specialisation : ............................................................................................................................. Residence Address : ..................................................................................................................................... .............................................................................................................................................................................. ............................................................................................ (PIN) ............................................................. Telophone Number : (Res) .................................................... (Mobile) : .................................................... Office Address : ........................................................................................................................................... ..................................................................................................................................................................... ............................................................................................ (PIN) ............................................................. Telophone Number : (Office) 1. ..................................................... 2. ........................................................ E-mail : ........................................................................................................................................................ Centre : ........................................................................... Area : ................................................................ (where attending Murli Class everyday) Zone : .................................................................... State : .......................................................................... Specify where you want to receive communication from Headquarters at BK Centre/ Residential Address.
Date : .................................................................... Signature : ...................................................................