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)*

16th April 2026 to 15th June 20261st June to 31st July 202616th November to 15th January 2027
Select Course Date (Weekends)*

15th March to 18th July 20261st August to 29th November 20265th December 2026 to 28th March 2027
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.Format: 0000000000.
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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