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Registration Form for therapist training program
Dadra and Nagar Haveli
Daman and Diu
Jammu and Kashmir
Name (As per Aadhar)
Date of Birth
Current Activity/ Profession
No. of Family Members dependant on You
Currently on-Going Studies(if any)
Previous Experince on Panchalkarma Therapies
Planning to Learn Panchkarma to Join any Organisation as Therapist/ Start Own Panchkarma Center
If you wish to start your own business, will be able to invest/ looking for financial help from Patanjali
Any Person known to you working with Patanjali Group
How much you wish to earn per month from Therapies ?
Owns a Android Phone/ iPhone
How much monthly earning you have currently ?
How many hours you can devote every day for training ?
What is the ideal time slot for you to attend the training ?
Morning-6AM to 8AM/Evening-7PM to 9PM
Day-9AM to 5Pm
Will be able to come to Local/ Central Patanjali Training Facility for Training, as & when required ?
Will be able to read, write and speak English
After training you will have any joining location preference
Are any Friends/Family Members working with any Panchkarma/ Wellness Center ?
Any difficulties or concerns you have ? (Physical/ Otherwise)