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Sehatvan Home Module Registration Form
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* Indicates required question
Name / नाम
Your answer
Phone Number / फोन नंबर
Your answer
Choose your objectives / अपना लक्ष्य चुनें
*
(If you have a different goal then, please choose 'other')
Weight Loss
Thyroidism
Diabetes
BP & Heart
Emotional Health
Auto-immune issues
Digestion
Body Pains
Sleep Issues
Stamina Building
Other:
Choose you duration?
*
4 weeks / INR 15,000 / USD 350
6 weeks / INR 25,000 / USD 500
When do you wish to start the program? आप कबसे शुरू करना चाहते हैं?
Your answer
Have you read the Program Details, FAQs, Refund Policy on Sehatvan's Website? क्या आपने सेहतवन की वेबसाइट पर कार्यक्रम का विवरण, अक्सर पूछे जाने वाले प्रश्न, रिफ़ंड पॉलिसी पढ़ी है?
*
Yes
No
Program Language / भाषा
*
हिन्दी
English
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