Yoga Teacher Training Course, Kaivalyadhama (Lonavala)

Yoga Teacher Training Course, Kaivalyadhama (Lonavala)

ONLINE APPLICATION FORM
Instructions to the Candidates:
1. The application should be complete in all respect.
2. Original certificates are to be produced at the time of admission.
3. You will be redirected to the payment gateway after submitting the form. Please pay processing fee Rs. 1000. Failure to do so will result in your application getting rejected.

By submitting this form, you confirm that you have read and agree to the official terms
and conditions, including the use of your name and entry on kdham.com.
Select Date
Name

First NameLast Name
Name as you want on the certificate
(With reference to your Educational documents)
Date

DayMonthYear
Please enter your Date of Birth
Place of Birth
Martial Status
Gender
Martial Status
Blood Group
Physically Challenged
Citizen of
(name of country)
Address for Correspondence

Full Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Permanent Address

Full Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Mobile Number
Please enter a valid WhatsApp Number
Email Address
example@example.com
Upload a Photograph

Passport Size (35mm x 45mm)
Cancelof
Legal Reservation Information (For Indian Students Only)
State of domicile
Category
If Reserved
Caste
Sub-caste
Upload Caste Certificate (if applicable)

Cancelof
Other Information
Employment Status
Other Activites
Personal Identification Mark(s)
Where did you come to know about this course
Nationality
Declaration by Participant:

I hereby declare that, I have read the rules related to admission and the information filled in by me in this form is accurate and true to the best of my knowledge. I will be responsible for any discrepancy, arising out of the form signed by me. I undertake that, failure to produce any of the mentioned documents would lead to cancellation of my admission to the course. 
I am aware of the Maharashtra Prohibition of Ragging Act, 1999 and I state that I will abide by all the rules and 
regulations of the said Act. 
I Agree (Name of the Student)
Declaration by Parent (For Indian students Only):

I have permitted my son/daughter/ward to join your college. The information supplied by him/her is correct to the best of my
knowledge. I have acquainted myself with the rules and fees dues to my son/daughter/ward and to see that he/she observe.
Mobile No. (Guardian)
Should be Empty:

Yoga Teacher Training Course, Kaivalyadhama (Lonavala)

Legal Reservation Information (For Indian Students Only)

Declaration by Participant: