| Personal Details |
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| Spiritual name (if applicable)* |
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| First name* |
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| Last name* |
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| Profile ID*: (Name that will appear on your profile. Must be a single word.) |
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| Password* |
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| Gender* |
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| Age* |
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| Ethnic group* |
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| Ethnicity * |
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| Language(s) spoken* |
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| Occupation* |
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| Birth details* |
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| Time [hr24:mm:ss]* |
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| Date* |
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| Place* |
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| Country* |
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| Residential Address |
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| Address Line 1* |
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| Address Line 2 |
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| City / Town* |
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| State / County* |
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| Country* |
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| ZIP / Postal Code*
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| Phone* |
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| Mobile |
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| Email* |
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| Spiritual Life |
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| Have you received first initiation? |
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| If yes, in which year? |
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| Have you received second initiation? |
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| If yes, in which year? |
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| Do you reside in an ISKCON temple or Gurukula? |
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| If yes, for how long? |
Years |
| If no, have you ever resided in an ISKCON temple or Gurukula? |
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| If yes, for how long? |
Years |
| Do you chant the Hare Krishna mantra on a regular daily basis? |
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| If yes, how many rounds do you chant every day? |
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| For how long have you been chanting? |
years |
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The four regulative principles of religious life are no meat-eating
(including fish and eggs), no intoxication (including alcohol and
cigarettes), no gambling and no illicit sex. How many of these principles
do you follow?
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| References |
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| [Names of three senior ISKCON devotees who know you .] |
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| Reference One[Mandatory] |
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| Name* |
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| Initiated By* |
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| Email address* |
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| Reference Two |
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| Name |
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| Initiated By |
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| Email address |
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| Reference Three |
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| Name |
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| Initiated By |
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| Email address |
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| Personality |
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| Main interests and activities [255 chars max] |
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| Self-Description [255 chars max] |
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| Partner requirements or preferences [255 chars max] |
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| Terms and conditions |
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| I have read the terms and conditions and agree to abide by them. |
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