APPLICATION FORM FOR YOGA TEACHERS TRAINING COURSE

1. Please select the appropriate course applying for Ayurveda Massage And Panchakarma Training Course
2. First Name*
3. Last Name
4. Gender* MaleFemale
5. Address *
6. City State/Province Country Zip code Phone(Mobile) Phone (Home) Email address

1. Birthdate - Day* —Please choose an option—01020304050607080910111213141516171819202122232425262728293031
2. Birthdate - Month* —Please choose an option—010203040506070809101112
3. Birthdate - Year* —Please choose an option—2020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900
4. Your Nationality* IndianForeigner
5. Passport number
6. Do you need Visa to travel and study in India YesNo
7. Have you arranged and obtained Visa, if yes please mention the Visa number YesNo
Visa Number (You should submit copy of your Visa along with this application)
8. Marital StatusMarriedDivorcedWidowedSingle
9. Current Occupation
10. Education/Vocational Skills
11. Languages Spoken
12. How did you learn about Soham Ayur Yoga Teachers Training Course? please specify:
1. Emergency Contact Name
2. Emergency Contact Phone
3. Emergency Contact Email
4. Emergency Contact Relationship
13. Are you practicing any system of Medicine/Therapy/Massage, if yes please mention-
14. Previous Ayurveda Knowledge if any-
15. If you have studied with a teacher from Soham Ayur Yoga Ashram or other Institute at what location and how many months have you studied, please name the teachers with whom you have studied:
16. Have you in the last 12 months used tobacco, alcohol, recreational drugs, or illicit substances? YesNo
17. Do you have any injuries or health issues we need to know about?*
18. What is your primary diet? VeganVegetarianNon vegetarianUnrestrictedOther
19. Please mention in case you follow any special diet (In case of a special diet please check the availability with us through email)



In-Depth, this section of the application is intended to give us a better understanding of you as a person. We encourage you to include any transformational experiences or turning points in your life that have brought you to your current personal relationship with Yoga and aspiration to become a teacher. Please give short answers to the following questions:

20. What attracts you to Ayurveda path?
21. What is it specifically about the Soham Ayur Yoga Ashram approach to Ayurveda that interests you?
22. Please attach your ID proof (Government issued ID, Passport, Visa etc)
23. Any additional comments about your application:
24. (Please click here to read completely before accepting) Do you Agree to the Terms and Conditions: Yes