Application First Name *Last NameGender *GenderMaleFemaleTransgenderDate of Birth *Contact No *Email Address *Country *AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCabo VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweTraining DetailsChoose your Course/Retreat detailsTraining Month *Training MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberTraining Year *No of Participants *Training Type *YTTC CourseYoga RetreatMeditation and Sound Healing Therapy TrainingPranayamaSound Healing CourseYTTC Training Location *YTTC Training LocationRishikesh, IndiaNepalBaliOthersRetreat LocationRetreat LocationBaliDharamsaalaGoaPokharaRishikeshMeditation and Sound Healing Therapy Training LocationMeditation and Sound Healing Therapy Training Location2nd-25th Rishikesh-India1st to 21st Pokhara-Nepal3rd to 26th Dharamsala-India7th to 27th Ubud-BaliSound Healing Course *Sound Healing CourseRishikesh, IndiaNepalBaliOthersChoose Course for Rishikesh *Choose Course for Rishikesh12 Days 100 Hour YTT Rishikesh-India24 Days 200 Hour YTT Rishikesh-India27 Days 300 Hour YTT Rishikesh-India52 Days 500 Hour YTT Rishikesh-IndiaChoose Course for Nepal *Choose Course for Nepal10 Days 100 Hour YTT Pokhara-Nepal10 Days 100 Hour YTT Kathmandu-Nepal21 Days 200 Hour YTT Pokhara-Nepal21 Days 200 Hour YTT Kathmandu-Nepal15 Days 300 Hour YTT Pokhara-Nepal25 Days 300 Hour YTT Pokhara-Nepal30 Days 500 Hour YTT Pokhara-Nepal46 Days 500 Hour YTT Pokhara-NepalChoose Course for Bali *Choose Course for Bali10 Days 100 Hour YTT Ubud-Bali10 Days 100 Hour YTT Amed-Bali21 Days 200 Hour YTT Ubud-Bali21 Days 200 Hour YTT Amed-Bali25 Days 300 Hour YTT Ubud-Bali25 Days 300 Hour YTT Amed-Bali46 Days 500 Hour YTT Ubud-BaliRishikesh ActivityAyurvedaPanchkarmaN/AMeal Type *Meal TypeVegeterianVeganEmergency Contact DetailsProvide the emergency details in order to contactEmergency Name *Your Relation *Emergency Email Address *Emergency Phone *Message *N/aSend Message
