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Girnar Tirth Seva – Waiting List
First Name
*
Middle Name
*
Last Name
*
Age
*
Email
*
Address
*
City
*
Zipcode
*
Mobile Number
*
WhatsApp Number
Alternate Mobile Number
*
Marital Status
*
Single
Married
Any Time Seva
*
Yes
No
Preferred Seva Date
*
1st - 3rd July 2026
4th - 6th July 2026
7th - 9th July 2026
10th - 12th July 2026
13th - 15th July 2026
16th - 18th July 2026
19th - 21st July 2026
22nd - 24th July 2026
25th - 27th July 2026
28th - 31st July 2026
1st - 3rd August 2026
4th - 6th August 2026
7th - 9th August 2026
10th - 12th August 2026
13th - 15th August 2026
16th - 18th August 2026
19th - 21st August 2026
22nd - 24th August 2026
25th - 27th August 2026
28th - 31st August 2026
1st - 3rd September 2026
4th - 6th September 2026
19th - 21st September 2026
22nd - 24th September 2026
25th - 27th September 2026
28th - 30th September 2026
Prior did you ever participate in Girnar Tirth Seva?
*
Yes
No
When did you came for Girnar Tirth Seva
*
In less than 1 Year
More than 1 Year
Name of Local Sangh (if member)
Dharmik Abhyas
*
Are you doing Jin Pooja Daily ?
*
Yes
No
Work Profile
Name of Group in Local Sangh where you are member & your responsibility
Name
This field is for validation purposes and should be left unchanged.