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Rishikesh Yoga
Yoga
Asana
Application Form
The completion of this application form serves to know if you are eligible to attend the yoga course. Acceptation of your application form does not confirm your participation; only payment of the course fee can do that. Places are given on eligibility and on first paid first served basis.
First Name :
Last Name :
Gender :
---Select Type---
Male
Female
Marital Status :
---Select Type---
Single
Married
Date of Birth :
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Email :
Contact No :
Nationality :
Address :
Do you have English language proficiency :
Yes
No
How did you learn about this organisation :
---Select Type---
Friend
Internet
Newspapers
Others
Illnesses (for the past 12-24 months) :
Yes
No
Surgery :
Yes
No
Medication :
Yes
No
Life Style :
---Select Type---
Smoking Pattern
Drinking Pattern
Recreational Drugs
Occupation Type
Diet :
---Select Type---
Vegetarian
Meating Eating Pattern
Cereal Eating Pattern
Dairy/Eggs Eating Pattern
No of hours of sleep per night :
---Select Type---
1-3 Hours
3-6 Hours
6-9 Hours
Level of stress :
---Select Type---
Low
Medium
High
Level of Physical Fitness :
---Select Type---
Low
Medium
High
Level of happiness :
---Select Type---
Low
Medium
High
yoga Course applied :
---Select Type---
One Week
Two Week
Three Week
Four Week
Six Week
Eight Week
Ten Week
How long you performing yoga :
Probable date of joining course :
Open the calendar popup.
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I agree with the Rules and Agreement :
Yes
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