Yoga for Positive Expression - Application Form

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Please note: This course is only intended for those who are familiar with the Satyananda system of yoga and who have been practicing it for at least two years.

All information provided will be treated confidentially.
Please note that this application does not guarantee a place. Entry to the course is competitive
and applicants will be notified of the outcome as soon as possible.
You may be required to attend an interview via telephone or Skype or provide additional
supporting evidence.

Please complete all the following details. for positive

Email *

Family Name (as per passport): *

First Name (as per passport): *

Sex: *

Male

Female

Initiation details (if applicable): *

No initiation

Mantra

Jignasu

Karma

Poorna

Spiritual Name (if not applicable please write NA): *

Date of Birth: *

YYYY

Postal address: *

Town/City: *

County/State: *

Zip/Postal code: *

Country: *

Mobile: *

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