Registration for Study abroad India Teach English Kerala at Vijnana Kala Vedi

Registration Form

Name:

Date of birth:

Sex:

Nationality:

Profession:

Address:

E-Mail:

Tel No:

Fax No:

Address of contact person (in case of any emergency):

Subjects of Interest:

1.
2.
3.

Intended period of stay:

From:
To:

Do you have any special requests or queries:

Please register me at your Centre. On hearing from you I shall send the necessary advance, my photograph and a medical certificate to prove my physical and mental fitness.

Please read the following and click on the box before you submit.

I hereby agree that I have read all the information on this web site and have well understood the same. I will abide by the various norms of thecentre, which I understand is only meant to ensure (a) my own safety and well being and (b) I do not show any kind of disrespect to the local customs and values. I also understand that my place and room in the centre is confirmed only if the centre receive my advance payment. I have clearly thought about this opportunity to live in VKV centre and made this decision. I confirm this by clicking on this submit button.