Welcome to Parmanand Institute of Yoga Science & Research

Application Form

Course Name:
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Your Name(Last/First):
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Health status : (Please write past history and present status of any serious health conditions:)
Yoga Therapy Treatment :
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Educational Background :
Qualification Degree Name:		Name of Institute/ School/College/University/

Do you practice yoga?		if, yes then for how long?
Do you teach Yoga?		if, yes then for how long?
Why do you want to do course with us ?
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(If You are a fresher , write N.A) Most recent job/activities

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Declaration by the student: I am participating in above program on my own and shall follow the general rules of the institution and instructions of guides /teachers/staff and shall not claim whatsoever against them or the institute and relieve them for all responsibility & liability.
Payment : Check or Cash or Wire For Wire Please make wire in our Institute’s following account: Name of the Beneficiary Account : Paramanand Institute of Yoga Sciences and Research Address of account : Khandwa Road, Near NDPS, Indore (MP) 452020 India Bank: HDFC Bank Address of the Bank: Trade House, South Tukoganj, Indore, India Account Number: 00362560009661 International Swift Code : HDFC INBB For registration $200, you can pay via Paypal (www.paypal.com) account : omanandji@gmail.com For balance payment, bank transfer or cash or credit card(subject to charges) (First email us completed application and then inform us wire transfer details.)