Anti Television Pledge Form

NAME :___________________________________________________

ADDRESS: ________________________________________________

___________________________________POSTAL CODE_________

TELEPHONE: CODE_____ TELEPHONE_____________________

SIGNATURE:____________________________DATE:____________

If you wish to take such a pledge, kindly complete this form and post to:

Swami Sahajananda

P.O.Box 65282

RESERVOIR HILLS, 4090

DURBAN, SOUTH AFRICA

FAX: +27 +31 262 3248

Boys and girls and even adults who wish to take the Vow of Brahmacharya may complete the form below and post it to: SWAMI SAHAJANANDA, P.O.BOX 65282, RESERVOIR HILLS, 4090, DURBAN, SOUTH AFRICA.

Vow of Brahmacharya (Celibacy)

I.............................................hereby take the sacred vow of

Brahmacharya until such time as I get married. I promise the Lord/my Guru I will not break the vow under any circumstances.

NAME : (Block letters) ______________________________________________

Gender:________ Age_______

Address_______________________________________

______________________________________________

Parent's Signature______________________________________