Ekantik Consultation Form

APPLICATION FORM FOR EKANTIK CONSULTATION

(FOR TOKEN SELECTION – CONFIDENTIAL)

1. PERSONAL INFORMATION

Name (Full)

Mobile Number

City / Place

Age (Optional)

First Time Applicant
Yes No

2. CATEGORY OF YOUR QUESTION (Select One)

Spiritual Guidance / Path & Practice
Difficulty in Spiritual Sadhana / Practice
Personal / Family Life Guidance
Relationship / Family Issue
Decision Related (Career / Life / Service)
Health / Emotional Challenge
Other

3. PRIOR CONSULTATION HISTORY

Have you previously received Ekantik Consultation?
Yes No

If Yes, how many times?
1 Time 2-3 Times 3+ Times

4. YOUR QUESTION (Write Clearly in 40 - 60 Words)

AADHAAR NUMBER (MANDATORY)

Aadhaar Number (12 digits)

I confirm that the Aadhaar number provided is correct and belongs to me

I agree to use this Aadhaar only once for token selection

THIS FORM IS CONFIDENTIAL – TO BE USED FOR TOKEN SELECTION ONLY