Register for a course in Mayapur

To ensure that a place is reserved for you on your chosen course, you will need to register before coming to Mayapur. If you have difficulty with our online process, please contact us for assistance with alternative registration options.

The registration process is simple:

Fill out the registration form below making sure to select your chosen course.
After you have registered, you will be able to download the Preliminary Self-study guide for your course, if available.
We will contact you after receiving your registration to assist you with preparing for you study in Mayapur. If you do not receive an email from us within 48 hours, please contact us.

Registration

Your Details:

We need some information so we know who you are.

Your course:
	If you would like to take any other courses, please select them here:
Your second course:
Your third course:
Your initiated name:		If you are not initiated, please use Bhakta/Bhaktin and your first name
Your spiritual master:		If you are not initiated, but aspiring, please enter your spiritual master's name
Your legal name:		as it is in your passport
Your nationality:		as it is in your passport
Your date of birth:		day - month - year
Your email:

Please explain why you want to take this course:

Please list any previous courses you have taken with us: (course and year)

If you are you currently taking any prescription medication, or have any physical or mental disabilities, please give details:

Your Next-of-kin:

In the unlikely event of an emergency, who can we contact?

Their name:
Their relationship to you:
Their telephone number:
Their email:

Please explain how you will be financially responsible in the event of some unforeseen reversal or accident.

A Reference:

We require a reference from your Temple President or other authority. Once you have submitted your registration, we will send them our standard reference questionnaire by email. Please contact your authority separately, and let them know to expect this email. They should complete it and send by return email as soon as possible. Please note that you will not be able to begin your course unless we have received this reference.

Temple your are affiliated with:
Name of your authority:
Their email:
Their telephone number:
Their relationship to you:

By clicking on the button below, you agree to the following conditions:

Your personal information will be held and used in accordance with the Data Protection Act 1998. We will not disclose this information to any unauthorized person or body, but where appropriate, we will use this information in carrying out our various functions and services.

The information you have provided in this form is accurate to the best of your knowledge. Knowingly misrepresented yourself in anyway, or providing false information, will excluded you from this or any other courses with the Mayapur Institute.