Application Form
Proforma For Application
Sub. :
Application for admission in the Course
:
B.A.M.S. (Foreigner's Course)
Diploma Course in Ayurveda
Introductory Course in Ayurveda
M.Sc. Medicinal Plants
B.Pharm Ayurveda
D.Pharm Ayurveda
M.Pharm Ayurveda
P.G. Diploma in Yoga & Naturopathy
Certificate Course in Yoga & Naturopathy
Diploma in Yoga & Naturopathy
Certificate in Yoga Education
Certificate Course in Panchakarma
Certificate Course in Ksharasutra
Certificate Course in Therapeutic Health Care
Certificate Course in Self Health Care
1.
Photo of Applicant (Upload JPG/JPEG File)
:
1.
Name of the Applicant (Block Letters)
:
*
2.
Father's Name
:
*
3.
Permanent Home Address
:
4.
Address for Communication
:
*
City
:
*
State
:
*
Zip Code
:
Country
:
*
Phone No. (O)
:
Phone No. (R)
:
*
E-mail
:
*
Fax
:
5.
Date of Birth (DD-MM-YYYY)
:
*
6.
Nationality
:
*
Sex
:
Male
Female
7.
Passport No.
:
Issued From
:
9.
Expected date of arrival in India (DD-MM-YYYY)
:
Valid Upto
:
8.
Qualification in Ayurved
:
*
10.
Address in India (If in India)
:
*
Phone No. (O)
:
Phone No. (R)
:
11.
Whether self supporting or scholarship holder
:
Self Supporting
Scholarship Holder
Not Applicable
12.
Academic Qualifications
:
*
13.
Medical Qualifications
:
*
14.
Experience in practice
:
*
15.
Do you need hostel accommodation
:
Yes
No
Enter Image Text
GAU - Institute for Ayurvedic Pharmaceutical Science