INSTITUTE for ACADEMIC EDUCATION and VOCATIONAL TRAININGS

www.dutchuniversitycollege.nl

in cooperation with

HUNGARIAN AYURVEDA MEDICAL FOUNDATION www.ayurveda.hu www.garuda.hu

CONSULTANT VEDIC ASTROLOGY

Intensive Study

REGISTRATION FORM

NOTE: After intake interview with the DUC tutor and payment the registration will be final.

This post-graduated study program on the holistic health approach and applications of Ayurveda is composed for medical doctors, medical students, health practitioners and therapists who wish to broaden and deepen their understanding of Ayurveda, which is an utmost part of the ancient wisdom of India.

PERSONAL DATA:

Family Name:First Name:

Address:Place/Code:

Phone:Mobile:

Email:Website:

Birthdate:Gender: M/ F

Civil Status: married / unmarried

Education:Academical Degree:

Profession:Study (for students):

SPIRITUALITY

Do you have any experience in holistic health care/meditation or any other program for mental and/or physical development? If yes, explain.

Do you have any diploma, certificate or degree in holistic health care?

HEALTH

How is your present state of mind?Good / Restless / Tensed

Please describe your present state of health.

Did you ever undergo a psychiatric treatment or were you ever involved in any other psychotherapeutic program? If yes, when?

Did you ever use drugs or allopathic medicines like sleeping-tablets or any suppressing calmatives?

Signature: ………………………………Date: ………………………………

Please send this registration form by email to Berenyi, Agnes M.Sc. (Ec.), Commercial and Marketing Director of Hungarian Ayurveda Medical Foundation, Budapest, email garuda@garuda.hu.

Copy to info@dutchuniversitycollege.nl

IMPORTANT NOTES

Enrollment is complete after:

· confirmation of your application and (skype)-intake with the DUC Executive Coordinator;

· receipt of our invoice;

· payment of € 2,400,00 before beginning of the training on ING bank account 44 88 514 to the name of Dutch University College, Wilp, the Netherlands.

The costs of study books are not included in the fee of this training. You have to purchase them yourself as far as they are not supplied by the AUC AFH. The list of the literature you can find on the website.

Cancellation: In case of cancellation after starting the study program there is no restitution of the payment.