Mumbai Part B McKenzie Registration Form
Mumbai Part B. 28 Credit Hours. 4 Days. 
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Date of start of Course DD/MM/YYYY *
City and State of the Course
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Your mobile number, start with country code *
Name as per Part A Registration
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Your Name - Name - Middle Name - Surname. (Name change from Part A, please mail neccessary document to miindia@mckenzieinstitute.org)
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Home Address with District, City, State, PIN Code
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Name of employer and address 
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Contact details of employer *
  I.A.P. No./state  council/ Country Licensure (Attested true be provided) Mail this documents to miindia@mckenzieinstitute.org   if not given earlier
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State your license number or State which other license you have and its number.  *
I had not given my working license for the Part A course because
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Required
U G College Passed out from, Full Address
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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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