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Training Programmes

Training Programmes

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Published by kalloornator
Individualised Training Programmes meant for health professionals.
Individualised Training Programmes meant for health professionals.

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Published by: kalloornator on May 18, 2008
Copyright:Attribution Non-commercial

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08/29/2013

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Registration Form
 Name : _____________________________________________________ Father’s / Husband’s Name :____________________________________ Course applied for :__________________________________________ :____________________________________ 
PERSONAL DETAILS
Present Add : ___________________________________________________________________  _____________________________________________________________________________E-mail ID: ________________________________ Tel No.______________________________ Date of Birth: ______________________________ Age : ______________________________ State of Domicile : __________________________ Mother Tongue :______________________ Marital Status:______________________________ Date of Marriage : ___________________ Children, if any (with age): _______________________________________________________ Other Dependents:______________________________________________________________ 
Family BackgroundEducational LevelOccupation / DesignationFatherMotherSpouseBrotherSister
Are you related / known to anyone now employed by Rejuv Health Care Services Pvt Ltd.If yes, sate position, department & relationshipHeight : ________________ Weight : _________________ Eyesight : ____________________ 
Affixyour PassportSizePhotograph
 
Have you any physical disability? If yes, give details.____________________________________________________________________________Have you suffered any major illness / undergone surgery in the past? If yes, give details.
Languages Known :
Speak: ________________________________________________________________________ Read: ________________________________________________________________________ Write: ________________________________________________________________________ Do you own a vehicle? If yes, two / four wheeler ________________
DETAILS OF EDUCATIONCert/DegreeSchool/CollegeLocationJoiningDateLeavingDateSubjectMark orDivisionOther Qualification : _ 
 ___________________________________________________________ Computer Knowledge : ___________________________________________________________ Extra curricular activities :_________________________________________________________ 
EMPLOYMENT DETAILSName of Co.worked forDurationFrom ToDesignationReason forLeavingGross Salary
On Leaving On Joining
Have you ever applied to us before? If so, give details.____________________________________________________________________________ 
 
Any additional information which you may desire to furnish._____________________________________________________________________________ _____________________________________________________________________________  Reason of doing course : ___________________________________________________________________________  ___________________________________________________________________________ References other than relatives:1. Name :________________________ Age :_________ Designation:___________________  Company : ____________________ Address with Pin code : ________________________ _____________________________ Phone : (o) ______________ (R) _______________2. Name :________________________ Age :_________ Designation:___________________  Company : ____________________ Address with Pin code : ________________________ _____________________________ Phone : (o) ______________ (R) _______________
Declaration
I hereby solemnly affirm & declare that the statements made above are true & that I haveconcealed nothing about myself.Date : _______________________ Signature of Applicant : ____________________________ 
Dhanwantri Kerala Ayurved Training Program

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Poornima Sathyan added this note
Top and best supplier of panchakarma equipments in Kerala,Bangalore,Chennai,Pune,India,Qatar,Dubai,Australia. Some of our products are Droni (Dharapathy), Dronistand, Dharastand, Dharapot, Steambath cabin with steam generators, Massage tables, Vamana peedam, Virechana peedam, Nasya yantra, Shirovasthy cap, Vasti yantras, and all types of Panchakarma accessories. http://www.poornimaspanchaka
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