Yoga Professional Workshop Registration Form - Dhemaji Assam - Dated 08th and 09th April 2018
  • *
    Candidate Name
  • Email ID
  • Address
  • *
    Candidate Contact Number
  • Age
    Age in Year
  • Gender
  • Height
    Height in centimeter or Feet and Inch. For any example 170 cm or 5.5 Feet
  • Weight
    Weight in Kilo
  • Madhyamik / Matriculation Exam
  • Madhyamik / Matriculation Exam Passing Year
  • Higher Secondary / Intermediate Exam
  • Higher Secondary / Intermediate Exam Appearing/Passing Year
  • Graduation
  • Graduation Appearing/Passing Year
  • Other Certification Details (if any)
  • Other Certification Appearing/Passing Year
  • Readiness
    Not Ready
    Full Ready
  • Have you tried to take any training in the past
  • If yes, then please give details
  • Major challenges in Yoga Syllabus
  • Other Comments
  • Disclaimer

    Disclaimer: Prior to beginning any healthyBillions services, you are advised to seek the advice of a physician regarding any routine,program or any package available from healthyBillions. healthyBillions is not a medical organization. Nothing contained in this package should be construed as any form of such medical advice or diagnosis. I do hereby verify that the contents in this Assessment form are correct and true to the best of my knowledge.
  • *
    Accepted and Acknowledged by ${Q-T}

That's all, folks!

* End page and disqualification logic can only be seen in the live survey

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