Bahá’í House of Worship

New Delhi, India

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Date

First Name

Second Name

Gender

Female Male

Age

15 - 20 years 21 - 30 years 30 - 50 years 50 and above

Country

Address

City

Postcode

State

State or City outside India

Phone

Mobile

Email

Profession

Prefered Language

English Hindi Other

I would like to participate in the following Baháʼí activities in my city

Study Circle (group study) To become a children class/junior youth teacher Seminar Devotional Gatherings

I would like my children of my family to participate in the following

Baháʼí Children's Moral Classes Youth Activities

I would like to know more about the Baháʼí Faith and would like the Baháʼí community to contact me

Yes No

I would like to join the Baháʼí community and would like them to invite me

Yes No

Notes (for office use)

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