Note:-"Please note that it is application for appearing in yoga certification examination. It is not a yoga course or a training programme. Please see FAQ for more details."

APPLICANT PROFILE

* Fields are mandatory

Are You From any Certified Yoga Schools: Yes No
Level Of Certification:*
Salutation :*
FIRST NAME: *
LAST NAME: *
NAME ON CERTIFICATE:*
BIRTH DATE: *
FATHER NAME:*
NATIONALITY:* Indian
Other
PERMANENT ADDRESS or POSTAL ADDRESS:*
PIN CODE:
City:*
State:*
Mobile:*
E-MAIL:*
HIGHEST EDUCATION QUALIFICATION:*
SUBJECT OF HIGHEST EDUCATION QUALIFICATION:*
HIGHEST LEVEL OF YOGA TRAINING:* NONE < Year 1 - 2 Years 2 - 4 Years 4 - 7 Years > 7 Years
CHOOSE YOUR CENTER:*
LANGUAGE OF EXAMINATION:*
PROFESSIONAL EXPERIENCE(If Any):
Instances of discomfort /disability caused to any of applicants
students in the past 2 years(If Any):
Have You Registred With Other PrCB? YesNo
Earlier application rejected: YesNo
If already certified or applied for any level under the same scheme,
state the name of Certifying Body
Any pending judicial proceedings relating to your conduct or any
pending proceedings by any regulatory body
YesNo
Identity Proof*Identity Number:
Upload the Identity Proof:
Upload Your Photo:*
Upload Experience certificate(if any): Note: if you have multiple certificates, please make them a single pdf and upload them.
Select a password for your Profile:*
Self Declaration: This browser does not support PDFs. Please download the PDF to view it: Download PDF
I have updated the mandatory fields in the application form and have read/understood all important instructions.