APTTPapplication

AYURVEDA PANCHAKARMA THERAPIES TRAINING PROGRAM APPLICATION

* Indicates required field

Applicant’s Information Name: *

First

Last

Email: *

Candidates's full body photo *

Max file size: 20MB

Passport size Photo of the candidate: *

Max file size: 20MB

Phone: *

Full Postal Address wot State and PIN *

Birth date: *

Age and Gender: *

Height in Centimetres and Weight in Kilos *

Languages spoken: *

Health Status: *

Personal Reference with Name, Designation email and Phone number *

Academic Records Attached (please attach all pdf or zip them): *

Max file size: 20MB

I want to become a professional Ayurveda Therapist, because: *

STUDENT's AGREEMENT

I, the undersigned REPLACE THIS WITH YOUR NAME, do hereby agree to uphold the principles and practices of Vaidyagrama for healthy living, sharing and caring. I agree to full attendance of the program and to come prepared to class punctually, with assignments completed. I agree to participate wholeheartedly in the spirit and practices of Vaidyagrama, regarding course completion, study-buddy sessions, extra-curricular opportunities, etc. I acknowledge the right and duty of the staff and management to support me in the successful completion of all lessons, assignments, quizzes, tests, exams and projects of the program. I accept all personal responsibility for my program outcomes and understand my individual impact on the community as a whole. *

Parent's AGREEMENT

Name: *

Email: *

Phone: *

I, parent of the admitted student above, do hereby agree to uphold and honour all financial and support responsibilities as follows: *

Submit

VAIDYAGRAMA HEALING VILLAGE - PUNARNAVA TRUST -

AYURVEDA PANCHAKARMA THERAPIES TRAINING PROGRAM APPLICATION

* Indicates required field

Applicant’s Information Name: *

First

Last

Passport size Photo of the candidate: *

Max file size: 20MB

Email: *

Candidates's full body photo *

Max file size: 20MB

Phone: *

Full Postal Address wot State and PIN *

Birth date: *

Age and Gender: *

Height in Centimetres and Weight in Kilos *

Languages spoken: *

Health Status: *

Personal Reference with Name, Designation email and Phone number *

Academic Records Attached (please attach all pdf or zip them): *

Max file size: 20MB

I want to become a professional Ayurveda Therapist, because: *

STUDENT's AGREEMENT

Parent's AGREEMENT

Name: *

Email: *

Phone: *

I, parent of the admitted student above, do hereby agree to uphold and honour all financial and support responsibilities as follows: *

Submit

SOCIAL MEDIA

CHOOSE a LANGUAGE

ACCREDITED

Hospital

Vaidyagrama Ayurveda Healing Village
15(1) Rottikaranur Road,
Thirumalayampalayam Post
Madukkarai via, Coimbatore
Tamilnadu 641105, INDIA

Admin

Punarnava Ayurveda
A‐21, Parsn Galaxy, Nanjundapuram Road, Coimbatore‐ 641036. Tamilnadu INDIA.

PHONE

OFFICE
+91 422 2364200
Tollfree Number in India: 18001232230

AYURVEDA PANCHAKARMA THERAPIES TRAINING PROGRAM APPLICATION

STUDENT's AGREEMENT

Parent's AGREEMENT

VAIDYAGRAMA HEALING VILLAGE - PUNARNAVA TRUST -

AYURVEDA PANCHAKARMA THERAPIES TRAINING PROGRAM APPLICATION

STUDENT's AGREEMENT

Parent's AGREEMENT

SOCIAL MEDIA

CHOOSE a LANGUAGE

ACCREDITED

Hospital

Admin

PHONE

pAGES

contact us

AYURVEDA PANCHAKARMA THERAPIES TRAINING PROGRAM APPLICATION

STUDENT's AGREEMENT

Parent's AGREEMENT

​VAIDYAGRAMA HEALING VILLAGE - PUNARNAVA TRUST -

AYURVEDA PANCHAKARMA THERAPIES TRAINING PROGRAM APPLICATION

STUDENT's AGREEMENT

Parent's AGREEMENT

SOCIAL MEDIA

CHOOSE a LANGUAGE

ACCREDITED

Hospital

​​​Admin

​PHONE

pAGES

contact us

VAIDYAGRAMA HEALING VILLAGE - PUNARNAVA TRUST -

Admin

PHONE