On-Campus Certificate Course Application, Kaivalyadhama ICYHC, Mumbai

On-Campus Certificate Course Application, Kaivalyadhama ICYHC, Mumbai

(Weekdays & Weekends Course)
Please Note:

1. Admission is subject to submission of the photocopies of educational documents as per eligibility and age proof. Please upload the necessary certificate along with the form.

2. Fees must be paid at the time of submission of the form. In case of payment by cheque/D.D/. It should be drawn in favor of ‘I.C.Y.H.C., KAIVALYADHAM TRUST’.

3. On 'SUBMIT' you will be redirected to the payment gateway for form registration processing fee of Rs. 500. Failure to do so will result in your application getting rejected.
Category*

Weekdays Course (Two Months)Weekend Course (Four Months)
Select Course Date (Weekdays)*

1st Dec 2025 to 31st Jan 2026
Select Course Date (Weekends)*

1st Nov 2025 to 28th Feb 2026
Name*
Please enter your Full Name
Gender*
Address*

Address Line 1

Address Line 2

CityState

Zip CodeCountry
City*
State/Province*
Mobile Number*
Please enter a valid WhatsApp number.
Email*
abc@example.com
Date of Birth*

DayMonthYear
Date
Age*
Profession*
Organization Name
Educational Qualification*
Yoga Training Acquired before (mention name of the course, institute, etc.)*
Educational Documents

Please Upload documents as per eligibility and age proof
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Reference I (Name, address, contact no.)*
Reference II (Name, address, contact no.)*
How did you come to know about this Course*

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By submitting this form, I agree to the usage of my details and email for registration and communication purpose by Kaivalyadhama. I understand and agree that Kaivalyadhama will use my data only to communicate with me to keep me updated on workshops and related activities. You agree to share information entered on this page with Kaivalyadhama (owner of this page), adhering to applicable laws.*

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