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Application form
Please enroll me as an ordinary member of the Yoga Institute as I wish to join the institute for learning Yoga.
Name
:
*
Age
:
*
Gender
:
Male
Female
Address
:
(Res.)
*
(Off.)
Telephone No.
:
(Res.)
*
(Off.)
Email ID
:
*
Educational Background
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Occupation
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Select Occupation
Business
Executive
Professional
Housewife
Retired
Students
Others
*
Name of Spouse/Father
:
*
Health problem, if any
:
Present Health Condition
:
Please Select
Excellent
Very Good
Good
Normal
Fair
Not Good
*
Blood Pressure
:
History of Sickness/Disease in the Past
:
When was the last Health Checkup undergone by you ?
:
How is your sleep ?
:
Do you eat Veg/Non-VegFood ?
:
Please Select
Veg
Non-Veg
Both
*
Do you have any habits ?
:
(For ex:Smoking,Alcohol,etc..)
What are your Hobbies ?
:
What is the main reason you want to join this camp?
:
Anything else you want to mention/comment
:
Name of Activity to be joined
:
Please Select
Cardiac and Hypertension Camp
Diabetes Camp
Menopause Camp
Orthopaedic – Back and Joint Problems Camp
Pregnancy Camp for Ante & Post Natal
Respiratory Camp
Samattvam
Senior Citizen Camp
Seven Days Camp
Stress Management Camp
Voice Management Camp
Weight Managemet Camp
Educational Camps
*
Select Schedule
:
Please Select
January
February
March
April
May
June
July
August
September
October
November
December
Please Select
2012
2013
2014
2015
*
For the schedule preffered respactive camp pages.
The fees for the Courses of Yoga Institute are not adjusted or refunded under any circumstances.
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