GUSHKARAMAHAVIDYALAYAguskaramahavidyalaya.org/notice/Notice_Yoga_2020.pdf · Yoga is an inva'uable gift of ancient Indian tradition. Yoga is essentially a spiritual diScipfine based

GUSHKARA MAHAVIDYALAYA[NAAC Re-Accredited ‘A’ Grade Degree College]

P.O. Gushkara, Dist. Purba BardhamanSelf Attested

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APPLICATION FORM‘Certificate Course in Yoga’

1. Name (in Block letters) :

2. Father’s/Guardian’s/Husband’s Name :

3. Permanent address* : …………………………………………………………………………………………………………………………………………………………PIN -

4. Contact No. (1) (2)

5. Date of birth* :

6. Age as on 01.02.2018 :

7. Gender : M / F / T

8. Qualification :

9. Marks in percentage in* Madhyamik –

H.S. -

Graduation –

Others –

10. Institution last attended :

Medical Certificate from a Registered Doctor to be attached with the application form mentioningthe health condition and diseases suffering from

11. Why you are interested in this course:

I agree to pay the course fee (Rs. 3,500/-) in full at the time of admission. I know that theadmission fee is non-refundable.

………………………………………………..Full Signature of the applicant

*Attach documents in support.