Fortunately  available  now :  The unique, rare, incomparable & Invaluable golden

opportunity + to be Free & PROOF from ALMOST all diseases + EMPOWERMENT FOR over

all the types of stamina + ACHIEVEMENT OF ABSOLUTE Enlightenment for all INDIVIDUALS

Under the perfect & direct gracious guidance of a glorious  

BalaYogaVibhuti Paramahansa

Dr. Swami Shivapoojananda Saraswati Ji Maharaj

ONLINE  application  form  AND  YOUR  PAYMENTS  TO

Yoga health research institute, bhopal, m. p., india

   GET  GUARANTEED  CURE  FOR  YOUR  ALMOST ALL THE DISEASES  BY OUR  YOGATHEOPATHIC TECHNOLOGY.  

 

Yogic Routine for residential Trainees candidates

fee & donation charges list for yoga courses

 
 
    Candidate's Full Name               
    Father's Husband's Guardian's Name   
    Complete Postal Address         
    Town     State     Pin/ Zip code    Country
     Land Phone       Mobile       Email   
    Height :   feets       inches      or  in  cm          Weight :   kg          Age :  years    
    Gender  ( Sex )    Male / Female        Marital Status   Married   Single       Nationality 
    Knowledge of Language   English    Hindi     Other      Passport No.
    Academic and Professional Qualifications  
     Your Yoga Experiences:  Institutional      Course      Duration    
    Addiction       Religion    Hindu    Muslim   Christian   Others 

          General Health Related Common Problems and Purposes     

                Symptoms of Chronic & Incurable Health Problems and Diseases     

                 Spiritual Enlightenment Sadhana Related Problems and Purposes    

    Previous and Present Treatment Details with Duration :       Allopathic  Duration        months           yrs. 
       Ayurvedic   Duration      months       yrs.    Homeopathic    Duration      months        yrs.  
       Unani    Duration       months        yrs.        Naturopathic     Duration      months         yrs. 

  Note :  In Case Of a Positive Medical History Please Send a Copy Of Supporting Medical (Diagnostic) Documents.

    Confirmed Period and Duration To Participate The Yoga Courses :  From date      month     year     

             To   date         month         year                  weeks         months          Years
    Purposes of Your Payments        Specific  Donations for The       

    Fee / Donation charges  for  the  Yogatheopathy  Course   

  Depositing & Sending Amounts (Processing & Pre-Reservation Charges Rupees 1000.00 for Indian & 150.00 US Dollars
  or 100 Euros for Foreigner   Rupees  US  $    Euros   other currency      by   Cash   Bank Draft
    Demand Draft   Transferred By A/C No.    Drawn on the Bank   
    Branch code       Place of Bank      on  dated      month      year    

Bank  Draft  /  Demand  Draft  to  be  made  In  the  favor  of  " Yoga  Health  Research  Institute " 

 and  payable  to  " State  Bank of  India "  at  New  Delhi  - 110049  /  Bhopal,  M. P.   ( India ).

   Note : All Paid amounts to this Institute are Non-Refundable and Non-Transferable Under any Circumstances.

 

    here by declare that all the information provided & Given In this Application Is True And Accurate To The Best Of My Belief & Knowledge. The YHR Institute Shall Have All The Rights To Vary And / Or Reserve Any Decision Made On The Basis Of Incorrect Or Incomplete Information. I Further Understand That The YHR. Institute May, For The Purpose Of Verification, Obtain Official Records From Any Institute Or Employer Mentioned By Me In This Application. I Also Undertake Responsibility And Liability Of Wrong And Unlawful Activities Or Misinformation For Any Other Misinterpreted Information Of Rules & Regulation Of Y H R Institute.

 
                                                                                                                                                          
 

-------------------------------------   For our office use only   -------------------------------------

 

Pre-Reservation & Processing no.        Referred by  

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