Mumbai Part A Reg form   
Mumbai   28 Credit Hours. 4 Days. 
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Email *
Date of start of Course
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Transaction ID of fees paid
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City and State of the Course
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Your Name - Name - Middle Name - Surname 
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Your mother's maiden name *
Your mobile number *
Date of signing and sending the Indemnity Form. 
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Home Address with District, City, State, PIN Code
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  I.A.P. No./state  council/ Country Licensure (Attested true be provided) Mail all documents to miindia@mckenzieinstitute.org   
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Specify which Other Work License you have
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Self Attested Documents emailed to miindia@mckenzieinstitute.org
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Required
Employer name and work address with phone number
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U G College Passed out from, Full Address
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How were you stimulated to join this course? Do you have any prior working / knowledge  on MDT (McKenzie). Where have you learned McKenzie before. Please give us details. It will help us understand your needs better. 
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Your registration will be confirmed on receiving completely filled registration form and appropriate documentation with the  course fees . Only email intimations will be given for final registrations. Admission to a McKenzie course will be at the discretion of the Board of Directors and Managing Committee of The McKenzie Institute India and The McKenzie Institute International. Their decision will be final and binding. Cancellation notices must be provided in writing. Once a registration has been processed, if you need to cancel, you have to send an eligible substitute with appropriate required documentation. Processing fee of 2500/- will be charged on cancellation even if you send a substitute. If you do not provide a substitute, you stand to forfeit the entire course fee. One week to the course, no cancellations are permitted, and you stand to forfeit your fees. If you have defaulted on payments, and if you stand unpaid one week before the course that you have paid for, you stand to forfeit the entire course fees and not allowed to sit for the course. If due to some unforeseen circumstances, the course is cancelled by the organizers, funds can be transferred to the next course. I agree not to publicize as a McKenzie Therapist till I attain a pass in both the theory and the practical of the credentialing examination. The organizers are not responsible for reimbursement of any travel tickets or associated ancillary expenses. I also agree to respect the Intellectual Property rights of the McKenzie Institute International, and shall not teach or make copies of the course manual or other teaching instruments provided to me during the course. I shall not video shoot or tape record the teachings. All decisions of the Board and Committee of McKenzie Institute India will be binding. I have read, understood and accept the rules, terms of registration, cancellation. I Agree ______________________________ signature.    
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