To apply for Courses at the Yog-Ganga Centre, please submit this form.
Name
: *
Gender
: Male Female*
Age
: *
Nationality
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Current Address
: *
Permanent Address
: *
Telephone
: *
Fax
: *
E-Mail
: *
Profession
: *

For how much time have you been practicing and/or teaching Yoga? With whom? Where?

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Which course do you wish to attend (specify date)?

*

Who have you been recommended by? (should be an IyengarYoga teacher or a person who has studied with us).

*

Date
:
Date Month Year
Place
:
*

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