NGH (USA) Clinical Hypnotherapy Super Course

Date Of the Program You are Applying For*

January 2023, 23rd Jan to 30th Jan 2023(Batch Finished & 12 Students from USA/UK/Dubai Graduated, all 12 students provided 5/5 rating with Google & YouTube Video Feedbacks can be checked)August 15-22 , 2024 (8 days) - (Batch Finished & 12 Students from USA/UK/Dubai Graduated, all 12 students provided 5/5 rating with Google & YouTube Video Feedbacks can be checked)23-30 January 2025(8 days) and 9th Feb 2025 (9th Day)

What is your Nationality & Where do you Reside? ( Needed for the ONLINE training Decision)*

Indian and Living in IndiaOther Nationality and Not Living in IndiaIndian but Living in another NationOther Nationality and Living in India

If you're living in India and you want to Join this program in LIVE ONLINE Mode, please specify the reasons clearly why you can't join this program in Bangalore?*

Training MODE in which You'll like to Join the Program. Please Note that If you are opting for LIVE ONLINE mode(Join LIVE training happening at Training Centre) , do ask for the specific Guidelines & FEES for the ONLINE mode.*

LIVE ONLINE mode(Join Training LIVE using ONLINE Zoom App. So you Join the ONSITE Training LIVE from your Home/Office)OFFLINE Mode - At the ONSITE Residential Training Venue, Bangalore with stay inside the ResortOFFLINE Mode - At the ONSITE Residential Training Venue, Bangalore with Stay Self arranged outside the Resort (Transport is to be arranged by you to reach at the venue at 10 am daily)

Student Name as you Need In Certification(Please mention NA in those boxes, Which are not applicable for you)*

PrefixFirst NameMiddle NameLast NameSuffix

Birth Date*

MonthDayYear

Gender*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Student E-mail*

example@example.com

Mobile Number with WhatsApp*

Phone Number*

Country CodeArea CodePhone Number

Existing Educational Qualifications & Professional Hypnosis Qualifications (along with the professional training name)*

Current Profession OR Responsibilities(eg. Student/Homemaker etc), please mention "NA" if not working OR you have no responsibilities*

Do you have any existing medical condition (including psychological disorders)*

YESNO

Any history of epilepsy or psychosis? **

YESNO

Mention About the Medical Condition, name of disease, any treatments ongoing*

Have you ever been convicted or charged with any criminal offence? **

YESNO

If you've been convicted of or charged with a criminal offence please provide details*

Have you checked the Training Brochure thoroughly? **

YESNO

Why Do you want to Join this Program, please describe in detail about your goals which you wan to achieve from this program.*

Have you attended any other Hypnosis Certification program previously? If yes, then please mention about the past certification, Your training School & your Mentors.*

How did you find out about this training course?*

Any Additional Comments you would like to post to us?

Seat Confirmation & Registration

The Full Fees of the Program is

Offline Onsite Mode: Rs. 215,000/- + Accommodation Fees to resort (As per Actuals)

LIVE Online Mode: Rs. 240,000/- + Courier Charges (As per Actuals)

Seat Confrmation & Registration:

A Deposit of Rs 50000/- (OR Equivalent in Your Currency) has to be made while Submitting your Application. This fees will be adjusted against the full program fees.

Applications without this initial registration Deposit of Rs. 50000/- would be discarded as invalid.

Please ask us about all the available Payment Options.

The LIVE ONLINE and OFFLINE training MODES have different FEES. Please ask for the FEES and read the Guidelines for both program modes.

Fees Transfer Modes

Please Contact +91-9886933911, Director, SCL to know about the modes of fees transfer.

All modes are available :

Indian Bank Transfers

Credit Card/Debit card

UPI

PayTm

Xoom

Wise transfer

Have you made the payment of Rs 50000/- along with the application?*

YESNO

Please mention the Payment Transfer ID and Payment method details.

Please mention your preferred accommodation type at the Discovery Village Resort, Bangalore. (The Resort Fees will Depend on this option & Note the Twin Sharing Room and Single Room are same in size/amenities. All the rooms in Discovery Village are Large Villas with capacity of 3 people and 3 beds/per room). The Resort Fees is not included in the training fees, and has to be paid separately. For the Jan 2025 program, it's Rs 46500/- for sharing room and Rs 66500/- for single, non shared accommodation. Food is included in stay.*

Single Room, without Shared OptionTwin Sharing Room (With Same Gender)

Other Important terms & conditions

A deposit of Rs 50000/- is required to secure the booking.
An application may be refused without explanation where we consider that the applicant may not be suitable for the course.
The balance of the fee is payable no later than 21 full days prior to the commencement of the course.
Failure to pay the balance of the fee on time may result in the applicant losing his/her place on the course.
Should there be difficulty making the payment on time, then please discuss this with the course director.
The course program is correct at the time of printing. However, it may be necessary for us to make changes to the content, dates, or venue.
Should the course dates be changed from those advertised then applicants will be notified and they may apply for a refund of the course fee.
Certificates will be awarded at the end of the course to those students who successfully complete the full course i.e. full attendance, successfully complete the written test, case studies, and assignments, and show competence over the course duration.
Applicants who do not complete the full 110 hours of classroom training (either due to illness or other reasons) may be required to attend further training days, for which there may be a charge.
Students will be treated with respect. Any abusive, disrespectful, or antisocial behavior (verbal or physical) by any student, whether it be towards the teacher or other students, may result in the immediate dismissal of that student and loss of all fees paid.

PAYMENT

Residential Training Option- 2025 Jan Program

The total tuition fee inclusive of Certification is Rs.215000/-

This does not include the accommodation fees of the Resort, which are for food/accommodation. Resort Fees depend upon your choice of room, and mode of sharing. Please call and ask this at +91-9886933911.

Confirmation of your place on the course will be sent to you by email once the deposit has been paid and your application has been discussed with the course director. The deposit is non-refundable unless you are not accepted on the course or the course is canceled.

By signing this form you agree to pay the balance of the course fee no later than 28 days prior to the commencement of the course, or other payment terms as agreed with the course director.

LIVE ONLINE Training Option- 2024 August Training Program

Tution Fees

Rs 2,40,000/-

*NOTE: Extra courier charges, per actuals, as applicable, will apply for sending the Study Material and Certificates.

Please ask for LIVE ONLINE training brochure.

Payment Options

Payments can be made using all the below methods.
Indian students: Bank Transfer, UPI (Gpay/Phonepe/PayTM Credit/Debit Card
Overseas students: PayPal/Xoom OR Credit/Debit Card

Please ask about the Payment Options 0n +91-9886933911

Signature

Other Important terms & conditions

A deposit of Rs 50000/- is required to secure the booking.
An application may be refused without explanation where we consider that the applicant may not be suitable for the course.
The balance of the fee is payable no later than 21 full days prior to the commencement of the course.
Failure to pay the balance of the fee on time may result in the applicant losing his/her place on the course.
Should there be difficulty making the payment on time, then please discuss this with the course director.
The course program is correct at the time of printing. However, it may be necessary for us to make changes to the content, dates, or venue.
Should the course dates be changed from those advertised then applicants will be notified and they may apply for a refund of the course fee.
Certificates will be awarded at the end of the course to those students who successfully complete the full course i.e. full attendance, successfully complete the written test, case studies, and assignments, and show competence over the course duration.
Applicants who do not complete the full 115 hours of classroom training (either due to illness or other reasons) may be required to attend further training days, for which there may be a charge.
Students will be treated with respect. Any abusive, disrespectful, or antisocial behavior (verbal or physical) by any student, whether it be towards the teacher or other students, may result in the immediate dismissal of that student and loss of all fees paid.

CANCELLATION & REFUND POLICY

As places on our courses are limited, in common with similar organizations we operate a cancellation policy.

Once your place on a course has been confirmed you will be liable for the full course fee unless we receive written notification of cancellation.
Once your place on the course has been confirmed, the Rs.50000/- deposit is nonrefundable unless the course is canceled.
Should you be unable to attend the course for which you have paid a deposit, and provided notification is received earlier than 28 days prior to the start of the course, then the deposit may be carried forward and used as part payment against (but not deposit for) the full cost of the next training course.
Bookings canceled earlier than 28 days prior to the start of the course: 100 percent of the balance of the course fee will be refunded.
Bookings canceled later than 28 days prior to the start of the course: no refund of the balance of the course fee will be made except in exceptional circumstances and at the discretion of the course director.
No refund will be made for non-attendance of the course, except in exceptional circumstances and at the discretion of the director.
If the course is canceled by us then a full refund of fees will be made but Soul Consciousness Lab Training will not be liable for any additional expenses incurred by students.

NGH USA Hypnosis Super Course Student Registration Form