School of Holistic Development
Department of Health Practices
Pre-Course Assessment
(AY 2024-25)
Passport Size Photo
Name of the Student - ____________________________________________
Name of the Institute - ___________________________________________
Roll No. - ________________ Enrollment No. _________________________
Semester - ____________Batch - ________________ Time - __________________________
Mobile No. - ___________________________________ Gender - _________________________
Age - ______________Years ___________ Months Blood Group - ________________________
Email ID - ___________________________________ Mother tongue - _____________________
If there are any health problems, please mention them here and submit relevant documents-
________________________________________________________________________
________________________________________________________________________
Terms and Conditions:
1. It is compulsory to attend all sessions on time and abide by the university rules.
2. You are advised not to take heavy food before coming to the session so that your bladder and bowls are empty.
You may however take juice before coming for the session.
3. Wear comfortable clothes (T-shirt and track pants) and sports shoes.
4. Take care of your breathing while performing yoga.
5. Exercise/workout must be done as per your physical capacity/stamina.
6. Yoga or aerobics should not be practiced in a state of fatigue, illness, excessive speed, and stress.
7. Yoga Sadhana should be done slowly and flexibly with awareness of the body and breath.
8. Warm up and stretching before performing asanas is mandatory to avoid injuries.
9. Inform the Teacher in advance of any illness or medical issues.
10. Health Practices Instructors/ Teachers are not responsible for any injuries.
11. If you have any kind of medical issues, please inform the Health Instructor.
I have read all the rules and instructions given above by the School of Holistic Development, MIT ADT
University, Pune and I promise to accept and abide by them. MIT ADT University will not be responsible for any
incident/problem related to my health.
Day & Date: Student’s Sign:
(For office use only)
Health Instructor Course Coordinator HOD Director, MIT SHD
MIT School of Holistic Development
