Application Form

Application for admission in the Course*
B.A.M.S. (for foreign students only)Introductory Course in AyurvedaDiploma Course in AyurvedaCertificate in Yoga EducationCertificate Course in PanchakarmaCertificate Course in KsharasutraCertificate Course in Therapeutic Health CareCertificate Course in Self Health Care

Form No.

Name of the Applicant (Block Letters) *

Permanent Home Address*

Email*

Mobile*

Date of Birth (DD-MM-YYYY)*

Nationality*

GenderMaleFemale

Passport No.*

Issued From*

Expected date of arrival in India (DD-MM-YYYY)*

Valid Upto*

Qualification in Ayurved*

Whether self supporting or scholarship holder*
Not ApplicableSelf SupportingScholarship Holder

Academic Qualifications*

Medical Qualifications*

Experience in practice*

Do you need hostel accommodation*YesNo

Math Captcha 78 − 77 =