Online Training
Registration Form for In-house courses
Fields marked
*
are compulsory
Name
*
Address *
E-mail *
Phone
Fax
DOB (Date of birth)*
Sex *
M
F
Duration of the training
1 week
2 week
3 week
1 month (4 week)
5 week
6 week
7 week
2 month (8 week)
3 month (12 week)
6 month
1 year
Your tentative dates for joining the courses
Qualification *
(last examination passed)
Name of the course*
Ayurveda Therapist Training program
Ayurveda Massage Techniques with Marma therapy
Ayurveda & Panchakarma therapy
Ayurveda & Beauty care
Ayurveda Cooking & preparations of herbal medicines and oils
Identification and uses of common herbs and spices
Ayurveda ways of life-style management
Training program in Yoga
Others (Customised Training Program)
Others (Please specify)
In case of any error submitting this registration form, please send your registration request at
info@chakrapaniayurveda.com