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Khoji Number

Date DD.MM.YY

First Name

Middle Name

Surname

Full Address

Village

Taluka

District

State

PIN Code

Mother Tongue

Mobile Number

WhatsApp Number

Email Address

Age

Birth Date DD.MM.YY

Gender

Marital Status

Educational Qualification

Job / Occupation

Designation

Student (Yes / No)

Class

Stream

Skills / Special Abilities

Has any family member attended The MahaAasmani Magic of Awakening Camp? (Yes / No)

If Yes, Relationship

Source of Information about Tejgyan

Satyamukh Name

Satyamukh Phone Number

Do you listen to messages of Tejguru Sirshree? (Yes / No)

If Yes, Platform

Are you already involved in spirituality? (Yes / No)

If Yes, Number of Years

Has any spiritual book or text influenced you? (Yes / No)

If Yes, Name of Book / Text

Do you practice meditation? (Yes / No)

If Yes, Type of Meditation

Do you have any physical pain? (Yes / No)

If Yes, Specify

Have you ever received treatment from a psychologist? (Yes / No)

If Yes, Since When

Till When

Reason for Treatment

Are you currently taking any medications? (Yes / No)

Have you received complete information about The MahaAasmani Magic of Awakening Camp of Tejgyan Foundation? (Yes / No)

Declaration / Reason for Participation

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{ "event_title": "Mahaasmani Magic Of Awakening", "form_type": "donation form", "fields": { "Date DD.MM.YY": "2026-03-05", "Khoji ID": "MH120183", "Name": "Bharat Ramchandra Leumbhar", "City (Tejasthan / Shahar)": "", "Zone": "", "Address": "Ku Peet. Kuroli, Pondh Pa (Bhaday)", "Mobile Number": "991007559", "PAN Number": "", "Aadhaar Number": "97579555", "Paid/Unpaid/Partly Paid": "Unpaid", "Committed Amt": "", "Amount Paid (Cash/Card/Cheque)": ".", "Balance Committed Amt": "0", "commitment date DD.MM.YY": "" }, "selected_donations": [ { "particulars": "LED TV/Commercial Display 65 inch", "selected_option": "", "my_contribution": "100" }, { "particulars": "Donation In Kind: (Grocery, Laptop, VehicleA) आज कॅश / चेक / कार्ड से दी जानेवाली रक्कम रुB) बाकी रक्कम रु. :\nC) बाकी रक्कम देने की तारीख :\n/\n/", "selected_option": "Ell\nSign", "my_contribution": "" } ], "tables": [ { "header": [ [ "मैं मनन आश्रम के लिए धनसेवा करना चाहता/चाहती हूँ।\nParticulars", "Required", "Cost per", "10%", "1%", "Selected", "My" ] ], "rows": [ [ "", "Unit", "Unit", "Support", "Support", "option", "Contribution" ], [ "", "MaNaN", "Ashram Developments", "", "", "", "" ], [ "Lift for Ambarsthan", "2 Nos", "A) 10 Lakhs", "B) 2 Lakhs", "C) 20,000", "", "" ], [ "Tar road to Ambarsthan", "", "A) 20 Lakhs", "B) 2 Lakhs", "C) 20,000", "", "" ], [ "Stone Steps to Ambarsthan", "250 fts", "A) 10 Lakhs", "B) 1 Lakhs", "C) 10,000", "", "" ], [ "One lakh litres Utility water tank", "2 nos", "A) 12 Lakhs", "B) 2.4 Lakhs", "C) 24,000", "", "" ], [ "Water Tank for trees/plants watering", "2 nos", "A) 10 Lakhs", "B) 2 Lakhs", "C) 20,000", "", "" ], [ "Vehicle - Nine seater vehicle", "Important 1 nos", "Purchases\nA) 15 lakhs", "B) 1.5 lakhs", "C) 15,000", "", "" ], [ "Pick\nup\nFour wheelers", "1 nos", "A) 15 lakhs", "B) 1.5 lakhs", "C) 15,000", "", "" ], [ "Vehicle Two wheelers", "2 nos", "A) 1 lakhs", "B) 20,000", "C) 2000", "", "" ], [ "Laptops", "10 nos", "A) 60,000", "B) 60,000", "C) 6000", "", "" ], [ "LED TV/Commercial Display 65 inch", "5 nos", "A) 80,000", "B) 40,000", "C) 4000", "", "100" ], [ "For Kitchen-Mixer/Grinder/Juicer/cutter", "4 nos", "A) 50,000", "B) 20,000", "C) 2000", "", "" ], [ "TGF corpus & FD project: [1 lakh] {Yes/No}One day food for 100 khoji: [10000] {Yes/No", "*.\n} *", "", "", "", "", "" ], [ "Donation In Kind: (Grocery, Laptop, VehicleA) आज कॅश / चेक / कार्ड से दी जानेवाली रक्कम रुB) बाकी रक्कम रु. :\nC) बाकी रक्कम देने की तारीख :\n/\n/", ", Camera,. :", "Others :\n100", "", "", "Ell\nSign", "" ] ] }, { "header": [ [ "Particulars", "Required", "Cost per", "10%", "1%", "Selected", "My" ] ], "rows": [ [ "", "Unit", "Unit", "Support", "Support", "option", "Contribution" ] ] }, { "header": [ [ "", "MaNaN", "Ashram Developments", "", "" ] ], "rows": [ [ "Lift for Ambarsthan", "2 Nos", "A) 10 Lakhs", "B) 2 Lakhs", "C) 20,000" ], [ "Tar road to Ambarsthan", "", "A) 20 Lakhs", "B) 2 Lakhs", "C) 20,000" ], [ "Stone Steps to Ambarsthan", "250 fts", "A) 10 Lakhs", "B) 1 Lakhs", "C) 10,000" ], [ "One lakh litres Utility water tank", "2 nos", "A) 12 Lakhs", "B) 2.4 Lakhs", "C) 24,000" ], [ "Water Tank for trees/plants watering", "2 nos", "A) 10 Lakhs", "B) 2 Lakhs", "C) 20,000" ], [ "", "Important", "Purchases", "", "" ] ] }, { "header": [ [ "Vehicle - Nine seater vehicle", "1 nos", "A) 15 lakhs", "B) 1.5 lakhs", "C) 15,000" ] ], "rows": [ [ "Pick\nup\nFour wheelers", "1 nos", "A) 15 lakhs", "B) 1.5 lakhs", "C) 15,000" ], [ "Vehicle Two wheelers", "2 nos", "A) 1 lakhs", "B) 20,000", "C) 2000" ], [ "Laptops", "10 nos", "A) 60,000", "B) 60,000", "C) 6000" ], [ "LED TV/Commercial Display 65 inch", "5 nos", "A) 80,000", "B) 40,000", "C) 4000" ], [ "For Kitchen-Mixer/Grinder/Juicer/cutter", "4 nos", "A) 50,000", "B) 20,000", "C) 2000" ] ] } ], "tabular_output": [ { "particular": "Lift for Ambarsthan", "required": "2 Nos", "cost_per_unit": { "A": "10 Lakhs", "B": "2 Lakhs", "C": "20,000" }, "selected_option": "", "my_contribution": "" }, { "particular": "Tar road to Ambarsthan", "required": "", "cost_per_unit": { "A": "20 Lakhs", "B": "2 Lakhs", "C": "20,000" }, "selected_option": "", "my_contribution": "" }, { "particular": "Stone Steps to Ambarsthan", "required": "250 fts", "cost_per_unit": { "A": "10 Lakhs", "B": "1 Lakhs", "C": "10,000" }, "selected_option": "", "my_contribution": "" }, { "particular": "One lakh litres Utility water tank", "required": "2 nos", "cost_per_unit": { "A": "12 Lakhs", "B": "2.4 Lakhs", "C": "24,000" }, "selected_option": "", "my_contribution": "" }, { "particular": "Water Tank for trees/plants watering", "required": "2 nos", "cost_per_unit": { "A": "10 Lakhs", "B": "2 Lakhs", "C": "20,000" }, "selected_option": "", "my_contribution": "" }, { "particular": "Vehicle - Nine seater vehicle", "required": "Important 1 nos", "cost_per_unit": { "A": "Purchases\nA) 15 lakhs", "B": "1.5 lakhs", "C": "15,000" }, "selected_option": "", "my_contribution": "" }, { "particular": "Pick\nup\nFour wheelers", "required": "1 nos", "cost_per_unit": { "A": "15 lakhs", "B": "1.5 lakhs", "C": "15,000" }, "selected_option": "", "my_contribution": "" }, { "particular": "Vehicle Two wheelers", "required": "2 nos", "cost_per_unit": { "A": "1 lakhs", "B": "20,000", "C": "2000" }, "selected_option": "", "my_contribution": "" }, { "particular": "Laptops", "required": "10 nos", "cost_per_unit": { "A": "60,000", "B": "60,000", "C": "6000" }, "selected_option": "", "my_contribution": "" }, { "particular": "LED TV/Commercial Display 65 inch", "required": "5 nos", "cost_per_unit": { "A": "80,000", "B": "40,000", "C": "4000" }, "selected_option": "", "my_contribution": "100" }, { "particular": "For Kitchen-Mixer/Grinder/Juicer/cutter", "required": "4 nos", "cost_per_unit": { "A": "50,000", "B": "20,000", "C": "2000" }, "selected_option": "", "my_contribution": "" }, { "particular": "TGF corpus & FD project: [1 lakh] {Yes/No}One day food for 100 khoji: [10000] {Yes/No", "required": "*.\n} *", "cost_per_unit": { "A": "", "B": "", "C": "" }, "selected_option": "", "my_contribution": "" }, { "particular": "Donation In Kind: (Grocery, Laptop, VehicleA) आज कॅश / चेक / कार्ड से दी जानेवाली रक्कम रुB) बाकी रक्कम रु. :\nC) बाकी रक्कम देने की तारीख :\n/\n/", "required": ", Camera,. :", "cost_per_unit": { "A": "Others :\n100", "B": "", "C": "" }, "selected_option": "Ell\nSign", "my_contribution": "" }, { "particular": "Lift for Ambarsthan", "required": "2 Nos", "cost_per_unit": { "A": "10 Lakhs", "B": "2 Lakhs", "C": "20,000" }, "selected_option": "", "my_contribution": "" }, { "particular": "Tar road to Ambarsthan", "required": "", "cost_per_unit": { "A": "20 Lakhs", "B": "2 Lakhs", "C": "20,000" }, "selected_option": "", "my_contribution": "" }, { "particular": "Stone Steps to Ambarsthan", "required": "250 fts", "cost_per_unit": { "A": "10 Lakhs", "B": "1 Lakhs", "C": "10,000" }, "selected_option": "", "my_contribution": "" }, { "particular": "One lakh litres Utility water tank", "required": "2 nos", "cost_per_unit": { "A": "12 Lakhs", "B": "2.4 Lakhs", "C": "24,000" }, "selected_option": "", "my_contribution": "" }, { "particular": "Water Tank for trees/plants watering", "required": "2 nos", "cost_per_unit": { "A": "10 Lakhs", "B": "2 Lakhs", "C": "20,000" }, "selected_option": "", "my_contribution": "" }, { "particular": "Vehicle - Nine seater vehicle", "required": "1 nos", "cost_per_unit": { "A": "15 lakhs", "B": "1.5 lakhs", "C": "15,000" }, "selected_option": "", "my_contribution": "" }, { "particular": "Pick\nup\nFour wheelers", "required": "1 nos", "cost_per_unit": { "A": "15 lakhs", "B": "1.5 lakhs", "C": "15,000" }, "selected_option": "", "my_contribution": "" }, { "particular": "Vehicle Two wheelers", "required": "2 nos", "cost_per_unit": { "A": "1 lakhs", "B": "20,000", "C": "2000" }, "selected_option": "", "my_contribution": "" }, { "particular": "Laptops", "required": "10 nos", "cost_per_unit": { "A": "60,000", "B": "60,000", "C": "6000" }, "selected_option": "", "my_contribution": "" }, { "particular": "LED TV/Commercial Display 65 inch", "required": "5 nos", "cost_per_unit": { "A": "80,000", "B": "40,000", "C": "4000" }, "selected_option": "", "my_contribution": "" }, { "particular": "For Kitchen-Mixer/Grinder/Juicer/cutter", "required": "4 nos", "cost_per_unit": { "A": "50,000", "B": "20,000", "C": "2000" }, "selected_option": "", "my_contribution": "" } ] }

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