Basic Course in home-care in active ageing and wellness

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Online 36-hours Course including 10 hours of practical demonstrations

1. Name (Exactly as it should appear on certificate) * *

2. Mobile No. *

Please tick whichever is applicable if the above number has WhatsApp. / Telegram/Others (to specify)

Other:

3. Email *

4. Address of the participant

5. Briefly describe your academic and/or professional background relevant for the course, e.g. Completed Secondary/ Higher Secondary/ Under Graduate/ Post Graduate/ Others (to specify) *

6. Only complete this form after reading the terms and conditions in Serial Number 11 below and confirming bank transfer of Rs. 6000/- for Indian applicants, US $ 200/- for applicants from developing countries and US $ 300/- for applicants from developed countries to the Account Name: UTD-HST General Fund; Bank Name: IDBI Bank, Yelahanka New Town, Bangalore-560064; Account Number: 0694104000134705 and IFSC Code: IBKL0000694 *

I Confirm

NEFT/UPI Transaction Reference Number *

7. NEFT Transaction Date *

8. In the event that we have to refund your money, please share your bank account details: Bank Name, Account Number, Bank Address and IFSC Code, Name on Bank Account *

9. Please write the source of information about this course e.g. TDU website or any others (to specify)

10. I am interested to use the knowledge and skills from this course to help me (Please tick whichever applicable)

i. Achieve active ageing and wellness goals

ii. Assist my elders as an informal care provider at my home

iii. Provide my services to elders as an informal home-care provider in their home

iv. Provide my services to elders in a residential care center

v. Provide my services to elders in a day care centre

vi. Pursue further Advanced Certificate Course in active ageing and wellness based on Ayurveda and Yoga

Other:

11. Kindly read the terms and conditions below and respond. ● I have read the entire description of the course. ● I understand that the course will be delivered in English and that the reading material will be in English.● I understand that this course will only cover academic, theoretical aspects and practical demonstrations of Ayurveda home remedies and oil therapies, Cognitive health, Yoga practices and Physiotherapy. ● All further communications will only be on the email address input on this form. ● Completing the registration form guarantees a spot in the course. No further email acknowledgement will be sent.● For those who have registered beyond 30 applications per batch, intimation will be sent regarding the program schedule of the subsequent batch. ● The last date is 21st September 2021 for this batch. The Registration will close as soon as 30 applicants enroll for this batch. ● The registration for the subsequent batches will be announced when the applications are received from 25 applicants for each batch. ● In the event that we have to refund your money, please share your bank account details: Bank Name, Account Number, Bank Address and IFSC Code, Name on Bank Account as mentioned above in serial number 8.● Classes will be cancelled and full refund provided if less than 25 registrations are received for any of the batches *

I agree

I disagree

12. Are you comfortable with your email address being on a mailing list? We will share upcoming courses and webinars at TDU. (A copy of your responses will be emailed to the address you provided, confirming your registration.) *

Yes

A copy of your responses will be emailed to the address you provided, confirming your registration.

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