Hybrid PG Diploma Course

Hybrid PG Diploma Course Application, Kaivalyadhama

Weekend Hybrid Course (1 Year)
List of mandatory documents to be attached to this form
1. Latest passport size photograph
2. Certificate of the highest education qualification
3. Identification (Adhar/License/passport)
4. Medical fitness certificate (If any medical condition)
5. Certificate of Yoga courses completed before this course
Name*
Please enter your full name
Gender*
Select Course Date*

15 June 2026 - 15 May 2027
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*
Current Profession*
Organization Name
Highest Educational Qualification*

12th StandardGraduationPost GraduationPhDOther
Have you done yoga before*

YesNo
Have you completed any Yoga course or training*

YesNo
If yes (mention name of the course, institute, etc.)*
Preferred medium of instruction*

EnglishHindiMarathiOther
Preferred Centre*

PuneDelhiBhopalRajkot
Do you have any medical condition*

YesNo
If yes, fill the details your medical condition*
Documents to be attached to this form

1. Latest passport size photograph 2. Certificate of the highest education qualification 3. Identification (Adhar/License/passport) 4. Medical certificate (If any medical condition) 5. Certificate of Yoga courses completed before this course
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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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Hybrid PG Diploma Course Application, Kaivalyadhama