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REGISTRATION FORM

Month :
Year :

COURSES

NUTRITION
STREE
GARBHA MATHA SANSKAR
SOUNDARYA
DIETETIC
AYURVEDIC PANCHAKARMA THERAPYCOURSE
Ayurcharya course
Obesity Course

CATEGORY

Online
Residential
Non Residential

REGISTRATION CATEGORY

Graduate
Student
Practitioners
Post Graduation
Faculties
Yoga practitioners
Others

PERSONAL INFORMATION

Name of the Student
Mobile No.
Watsapp No.
Address

Mode of Payment No. 9343209886 (use this No. for Mobile Transfer)

Google pay
Phone pay
Paytm

Your Mobile Pay No.

Online Transfer

Online Pyment Transaction No. (Note- Please Transfer the Amount and place the online Transaction No. to verify the pay details)

Name.. Priya Prashanth Jain , Current Account No. 01332000009765

Bank name..HDFC Bank Ltd., Branch Name..Jayanagar..RVS Paradise.

IFSC code..HDFC0001226 , SWIFT CODE..HDFCINBB


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