GURUKULA REGISTRATION...
 
Note : Fields with * are compulsory.
Center :
 
Course :
 
* Name :
  
Address :
 
Phone Nos. :
(R) (e.g. 00912024475360)
(M) (e.g. 00919422080882)
    
* Email : 
  
Gender :
  
 
* Education :
 
Course Board / University Year of
passing		 % of
marks
12th std
BAMS
PG
Any other
 
* Marital Status :
 
 
* Own Ayurvedic Practice ? : 
 
 
*Any experience of practice from Guru :
 
If yes Name, Address, Phone No. :
Name :         
Address :    
Phone No. :
 
Are you desirous of Pure Ayurvedic Practice ? :
 
Any experience of preparation of Ayurvedic medicines?
 
If yes quote names of medicines :
 
Memorization of texts by heart ? :
 
If yes number of chapters & names of chapters :
 
Experiences about Panchakarma :
 
Experience about reading Commentaries :
 
Add Payment Details:
Registration Charges Rs. 100/-


Enter Cheque/DD Details :
Bank Name :       
Branch :            
Cheque No. :     
 
 
* Security Question :
 
* Answer :
 

I am desirous of taking admission to the residential course organized by "Vidyarthimitra Vaidya M. V. Kolhatkar Ayurveda Pratisthana". I shall abide by rules & regulations.
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