Enrolment Form

 
Name of Applicant
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Date of Birth (dd/mm/yyyy)
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Nationality
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Full Address
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Telephone No.

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Cell No.
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Email
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Qualification
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Medium
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Additional Qualification
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Experience (if any)
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How did you hear about Us.
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Course in which admission is to be sought
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D.A.T. (Diploma in Acupressure Therapy) D. MAG (Diploma in Magneto Therapy)
M.D. ACU (Master's Diploma in Acupressure and Magneto Therapy) GEM OF PYRAMID (A Complete Training Programme for Pyramid and Vaastu Shastra)
REIKI (First, Second and Third Degree of Mastership) N. D. (Naturopathy Diploma)
ACU. RATNA (An Expertise Course to Treat Chronic Disease) N.D.D.Y. (A Complete Course of Naturopathy Massage and Yoga)
VAASTU RATNA (A Complete Course on Vaastu, Pyramid and Remedies) ACU. SHIROMANI (An Award Based on Patients Opinions)
D.Y.M.T. (Diploma in Yoga, Massage Therapy) D.A.M. (Diploma in Alternative Medicines)
D. SUJOK (Diploma in Sujok Therapy) M.D. SUJOK (Master Diploma in Sujok)
D.F.S. (Diploma in Fang Shui) D.C.T. (Diploma in Colour Therapy)
 
Attach your Photograph
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Declaraion of the applicant
The content of the application form that I have submitted are true to the best of my knowledge. If any statements given by me will prove false, I will be fully responsible, and I stand disqualified.

Please enclose the following Documents:
Two-passport size photos
Xerox copies of Mark-Sheet & Certificates
Date of Birth Certificate
Character Certificate
     
   
 
 
If you wish to have a colourful laminated Identity Card from Our Institute with your personal Registration No., Including fields in which you are working, complete address of your centre, Phone no. and your Photo. Then fill the following form.

The fees for colourful laminated Identity Card is Rs. 250/- only (For Indians) or $10 (For Foreign Candidates)
For Identity-Card

Name

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Phone No.
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Mobile
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Fields in which you are interested to work
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How did you hear about Us.
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