APPLICATION FORM * Fields are mandatory Are You From any Certified Yoga Schools: Yes No Only if You are from any yoga school: –SELECT–Sri Sri School of YogaNew Age Yoga InstituteHata Yoga Abhyasa And Prachara TrustSivananda Yoga Vedanta Dhanwantari AshramShri Ambika Yoga KutirThe Yoga InstituteSatyanandan Yoga And Ayurveda Research Institute Upload the Certificate: Level Of Certification:* –SELECT–Level 1 – Yoga Instructor.Level 2 – Yoga Teacher. Salutation :* –SELECT–Mr.Ms.Dr. FIRST NAME: * LAST NAME: * NAME ON CERTIFICATE:* BIRTH DATE: * FATHER NAME:* NATIONALITY:* –SELECT–OtherIndian Are You a NRI?: YESNo PERMANENT ADDRESS or POSTAL ADDRESS:* PIN CODE: City:* State:* Mobile:* E-MAIL:* HIGHEST EDUCATION QUALIFICATION:* –SELECT–DiplomaDegreePost-GraduationDoctoralOther SUBJECT OF HIGHEST EDUCATION QUALIFICATION:* — SELECT–YogaOther HIGHEST LEVEL OF YOGA TRAINING:* NONE < Year 1 – 2 Years 2 – 4 Years 4 – 7 Years * — SELECT–Udupi – KarnatakaRajnandgaon – ChattisgarhRohtak-HaryanaFatehabad – HaryanaJaipur – RajasthanDelhi – Delhi NCR LANGUAGE OF EXAMINATION:* –SELECT–HindiKannadaEnglish 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.