//
Sahaj Marg Emblem 'Meditation for Human Integration'  
 
Sahaj Marg Spirituality Foundation
 
Participation Request For Shukla Tirth Retreat Center

1. Rev. Master has advised that the Retreat programme is only recommended for abhyasis with more than one year of Sahaj Marg practice.

2. If you have any physical health problem please ensure that you carry your Doctor’s certification of fitness, prescription and enough medicine for the period of your stay.

3. The participation in the retreat programme is not permitted while you are on medication or being treated for any mental health problem.

4. Calendar: Sisters : February, April 1 - 25, June, August, October, December 1 - 23
 Brothers : January 2 - 31, March, May 5 - 31, July 1- 20, September1-25, November

5. Please submit the participation request at least 3 weeks before your planned arrival.

6. Children are not permitted at Shukla Tirth Retreat Centre.

For detailed guidelines, see Retreat Centers

Retreatant Details

First Name:*

Last Name:*

Gender *
Male Female

Age:*

Street Address:*

City:*

Country:*

Pin(Postal) Code:*

Phone Number:*

E-Mail:*

Retreatant SRCM ID:

Center Details

Prefect Name* :

Prefect Phone Number* :

Prefect E-Mail Address* :

Travel Details

Calendar For Men and Women Batches for Shukla Tirth Retreat Center Melaka, Malaysia
Sisters: February, April 1 - 25, June, Aug, October, December 1 - 23
Brothers : January 2 - 31, March, May 6 - 31, July 1- 20, September 1-20, November


Planned Arrival Date (DD/MM/YYYY):*
Planned Departure Date (DD/MM/YYYY):*

Additional Details

Are you on medication or undergoing treatment for any specific health problem?*

Please ensure that you carry your prescription and enough medicine for the period of your stay

Do you have any special needs during your stay?*

Sahaj Marg Practice Background

How long have you practiced Sahaj Marg? Please specify your date and place of introduction.*

How often do you receive an individual sitting?*

How often do you attend Satsanghs?*

Have you visited a Sahaj Marg Retreat Centre before? Please specify the date of the last visit*

Participating in the retreat

Please list your reasons for wanting to participate in the retreat programme at Shukla Tirth Retreat Centre.*

My family knows of my decision to participate in retreat program at Shukla Tirth Retreat Centre.
I have read and agree to these policies and shall abide by them while at at Shukla Tirth Retreat Centre, Melaka. I also understand that SRCM will not be responsible for accidents or injury to retreatant or for damage or loss of money, personal property or valuables of any kind. Retreatants shall hold SRCM harmless and agree to indemnify SRCM from any and all liabilities. Retreatants agree to follow the rules set by the management of the ShuklaTirth Retreat Centre, Melaka.