Course Registration Form
Pre-requisite for all Physiohealth & NOI India Courses
Name *
(will appear on the Certificate)
Your answer
Gender *
Required
Email *
Your answer
Mobile Number *
Your answer
Alternate Contact Number
Your answer
Current Address *
Your answer
PIN Code *
Your answer
City *
State/Union territory *
Qualification *
Required
Academic Institute *
(graduated from/currently studying in)
Your answer
Food *
Required
Beverage *
Required
Food Allergies (if any)
Your answer
Course Options *
Terms
1. Video recording is not allowed.
2. Course fee is non‐refundable unless the event is cancelled.
3. Swapping courses is not allowed. A replacement is allowed.
4. Event organisers reserve the right to reschedule the course if required with prior notice.
Contact us (in case of queries/concerns)
Address: Physiohealth, East View C H S Ltd., Ground Floor,
Corner of 4th Road & Khar Pali Road, Khar West, Mumbai - 400052
Phone: +91-7738 200600 | +91-22-2604 3336
Email: info@physiohealth.in
Website: physiohealth.in
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