<p> Paramanand Institute of Yoga Sciences & Research Application Form</p><p> Course Name*:- </p><p> Course starting from (please enter the date) *:-</p><p> Duration of the course*:-</p><p> Your Name* (Please provide Full Name as mentioned in your passport):-</p><p> Date of Birth (dd/mm/yy) *:-</p><p> Gender*:-</p><p> Attach a scanned copy of your passport size photograph:-</p><p> Applicant’s Current Occupation:-</p><p> Permanent Postal Address*:-</p><p> City*:-</p><p> State:-</p><p> Zip or Pin Code:-</p><p> Country*:-</p><p> Email*:-</p><p> Phone:-</p><p> Emergency Contact Number*:-</p><p> Medical History (if any):-</p><p>Educational Background</p><p> Educational Background:</p><p> Qualification:</p><p> Do you teach/practice yoga?  If yes then for how long?</p><p> Why do you want to do course with us*?</p><p> How you came to know about this course*?</p><p>(Note:- Fields with “Red Star” are necessary)</p><p>Payment Options:</p><p>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].</p><p>Wire / Telegraphic Transfer: You can pay the transfer the invoiced amount to our Institute’s following bank account: </p><p> Name of the Beneficiary Account: Paramanand Institute of Yoga Sciences and Research </p><p> Address of Beneficiary: Khandwa Road, Near NDPS, Indore (MP) 452020 India </p><p> Bank: HDFC Bank </p><p> Address of the Bank: UG-1&2, TRADE HOUSE, SOUTH TUKOGANJ, INDORE, MADHYA PRADESH 452 001</p><p> Account Number: 00362560009661 </p><p> International Swift Code: HDFC INBB</p><p>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.</p><p>Notes:  Please inform us your payment details along with the application number, course code and your name.</p><p> We just charge the registration fee and balance payment will be taken once you join the course.</p><p> Please bring at least 3 passport size photographs with you.</p>