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| Experience |
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Please provide brief details of your educational qualifications and professional training:
(Certificates / Diplomas etc)
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Please give details of your yoga training and experience:
(Include whether student, teacher, health practitioner, style of yoga, duration of study, names of schools/teachers, brief description of personal yoga / meditation / pranayama etc. practice)
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Provide brief details of any medical condition or injuries you have:
(Include medications, psychiatric treatment, nervous disorder, etc.)
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| Additional Information
We recommend you stay on site to gain the most from your teacher training course.
Ashram style accommodation is now offered for students at $120 per week.
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For International Program only:
Please click here to download the booking notes for detailed travel information.
If your training is within Australia please scroll down to the next section and complete Payment Details.
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| Flight Details: |
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| Please provide flight details so that your transfers can be arranged. If you have not yet booked your flights, please advise flight details as early as possible. |
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Arrival:
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Departure:
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Travel Insurance:
We recommend that all participants have full travel insurance for the duration of travel. If you have not yet booked your travel insurance, please advise details as soon as possible.
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| For twin share - sharing with: |
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| Payment Details |
Your details are completely secure using this secure 128-bit encryption form. |
| A $600 deposit is payable upon application and fully refunded immediately if the applicant is not accepted into the course. For full details please refer to How To Apply. |
| A deposit of $ has been paid by (please tick) |
Please select one of the following options:* |
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| Credit Card Type: Visa |
Mastercard |
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Name on Card:
Credit Card Number:
Credit Card Security Code (back of card):
Credit Card Expiry Date:
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| Direct Deposit |
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| Name of Account: Purna Yoga |
Name of Bank: National Australia Bank, Lismore, NSW |
| BSB: 082-489 |
Account Number: 85-960-6267 (Please include your name) |
| Swift code: NABAAU3302S(For overseas deposits) |
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If your booking is in response to one of our adverts, please enter the eight digit promotional code in the advert to receive your complimentary yoga gift on arrival.
Promo Code:
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Agreement
Please check you have completed all the compulsory fields in this form (marked with red bold asterisk*) before clicking the submit button.
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I * hereby state that the information I have provided in this application is true and correct. I have read and accept the terms and conditions. I have read and understood The Student Handbook, including the Code of Ethics and agree to abide by them.
Please ensure you have entered your full name in the agreement to ensure your application is submitted for processing.
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