PRANIC LIGHT NEPAL
REGISTRATION FORM
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Name ( Full) *
Date of birth *
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Age (years) *
Marital Status *
Profession *
Email *
Contact No. *
Address (Full) *
Pranic healing course that you want to join *
Mention Course date *
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Referred by *
Mention if you have any health problems (physical, emotional and mental) *
I decree that I am participating in this Pranic Healing Course at my own will and understanding. I will take full  responsibility for attending the course. I am physically mentally able to participate and will keep confidentiality of the proceeding
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