Paramanand Institute of Yoga Sciences & Research

Paramanand Institute of Yoga Sciences & Research Application Form

 Course Name*:-

 Course starting from (please enter the date) *:-

 Duration of the course*:-

 Your Name* (Please provide Full Name as mentioned in your passport):-

 Date of Birth (dd/mm/yy) *:-

 Gender*:-

 Attach a scanned copy of your passport size photograph:-

 Applicant’s Current Occupation:-

 Permanent Postal Address*:-

 City*:-

 State:-

 Zip or Pin Code:-

 Country*:-

 Email*:-

 Phone:-

 Emergency Contact Number*:-

 Medical History (if any):-

Educational Background

 Educational Background:

 Qualification:

 Do you teach/practice yoga?  If yes then for how long?

 Why do you want to do course with us*?

 How you came to know about this course*?

(Note:- Fields with “Red Star” are necessary)

Payment Options:

By PayPal / Credit Card: Pay Registration Fee online through PayPal account or Credit Card. Once you send this application form to us please login into your PayPal account and pay 200USD to [email protected].

Wire / Telegraphic Transfer: You can pay the transfer the invoiced amount to our Institute’s following bank account:

 Name of the Beneficiary Account: Paramanand Institute of Yoga Sciences and Research

 Address of Beneficiary: Khandwa Road, Near NDPS, Indore (MP) 452020 India

 Bank: HDFC Bank

 Address of the Bank: UG-1&2, TRADE HOUSE, SOUTH TUKOGANJ, INDORE, MADHYA PRADESH 452 001

 Account Number: 00362560009661

 International Swift Code: HDFC INBB

By Check / Demand Draft: Check / Demand Draft should be payable in favor of: “Paramanand Institute of Yoga Sciences and Research” By Cash: You can pay by CASH during your visit.

Notes:  Please inform us your payment details along with the application number, course code and your name.

 We just charge the registration fee and balance payment will be taken once you join the course.

 Please bring at least 3 passport size photographs with you.