INTERNATIONAL SOCIETY FOR KRISHNA CONSCIOUSNESS
Founder-Acarya: His Divine Grace A. C. Bhaktivedanta Swami Prabhupada

Center:___________________ Date:______________
OFFICIAL RECOMMENDATION FOR ASPIRANTS FOR SHELTER/ INITIATION {V1. 1}
To (Name of Diksa Guru):______________________________________
Please accept my humble obeisances. All glories to Srila Prabhupada.
It is my pleasure to recommend:
_____________________________________________________
for being accepted by you as an "aspirant for shelter and initiation". He/ She has been connected with
the Krishna consciousness movement for more than one year, as a congregational member, Temple
Resident or as a child being brought up in a Krishna-conscious devotee's household. He/ She is mature
enough to understand the importance this decision. Therefore I approve that he/ she cultivate a
personal spiritual relationship with you by taking personal guidance, and instructions accepting you as
his/ her primary siksa guru and aspired future diksa guru as per ISKCON Law.

Your servant, ________________________________( Name)____________________ Title)
_________________________________( Place) _____________________( Date)

 

General and Spiritual Information

First Name: _________________________ Family Name:__________________________________
Date of birth: ___ /___ /______  Male  Female Age:_____ Nationality:________________
Devotional services:_____________________ Occupation (if working): ______________________
Present Address:__________________________________________________________________
City: __________________ State/ Province: _________ Postal Code:__________
Country: __________________ Phone No's: home:__________ office: __________ Fax:_______
Permanent Address:_______________________________________________________________
City:___________________________ State/ Province: _________ Postal Code:__________
Country: ___________________ Phone No's: home:__________ office: __________ Fax_________
Marriage status  Single Seeking  Engaged  Married  Separated/ divorced Widow;
Name of spouse (if applicable): ___________________ _______ Spouse KC Status[______________]
Name of children and their birth year / age: _____________________ ________________________
Is child of ISKCON Devotee  Yes No Devotee relative name:____________________________
Is in contact with Krishna consciousness for ______ years/ months.  Doesn't live in a temple
 Yes, lives in a temple or temple community. .Yes, is connected to a temple? _______________
Is a member of a Nama Hatta? yes No. Follows 4/____ regulative principles for ___
years/ months.
Chants Hare Krishna japa for ____ years/ months & 16/____ rounds for ____ Months/ Years
 Siksa Guru( s):_________ _____________ Guiding devotee( s): _______________________
E-mail (COM) Internet services
E-mail (personal/ contact):____________________________________________________________