DATA BASE OF MEMBERS OF SDDS

Dear Bhagavatas,
It is proposed to create a database of the members of SDDS. The material will be useful for a more intimate and fruitful interaction among the members and for statistical purposes. Any information furnished will be kept in strict confidence. Please fill in the form enclosed and return it to Saranagathi@hotmail so as to reach on or before 30th June 1998for updating the database and oblige.

Thanks.

Please fill up a separate form for your spouse, if you wish.

1. Name:
a) Last Name: (State Mr/Mrs/Ms/Dr as the case may be) b) First Name :
c) Middle Name :

2. Date of birth :

a) As per Christian era : YY            MM              DD
b) As per Indian Calendar,(if known): Year Name         Month Name      Date

3. Gotram / Nakshatram(if known) :                      /

6. Your Telephone Numbers:
a) Home :

b) Work :

7. Your Fax Numbers (if any):
a) Home:

b) Work :

8.Your e. mail addresses :
a) Home :

b) Work :

9. Have you had Samaasrayanam? If Yes, from whom?

10.Have you had your Bharanyasam? If Yes, from whom?

11.Your Official Designation(now held or last held, if retired)

12.Place of work :

13.Acadamic Background :

14.Your Special interests :

15.Technical Qualifications :

16.Names and Ages of your Children :