Last Name*:

First Name*:

Middle Initial:

Date of Birth*:

   (Month/Day/Year)

Address*:

Apt#:

City*:

Country*:

Zip/Postal Code*

Country Code:

   (if outside of USA)

Telephone*:

E-mail*:

Schools Attended:

List the school, city, state, major, degree and dates.

High School:

College:

University:

Other:

Check the Study Program for which you are applying:

Vasati Program

   Vasati Basic Course

   Vasati Specialist Course

   Vasati Astrologer Course

   Vasati Master Course

Sanskrit Program

   Sanskrit Basic Course

Vedic Astrology Program

   Vedic Astrology Basic Course

   Vedic Astrology Main Course

   MaHaBote Burmese Astrology Course (only in German)

Ayurveda Practitioner Program

   Ayurveda Basic Course

   Ayurveda Main Course

Comments:

Financial Understanding:

I have carefully read the "Payment Information" in the Application Section, and I agree to abide by all the policies set forth therein.

Yes No

Application Fee:

In order to complete your application to EAVS you need to send in your application fee of €60,00. This can be paid by bank transfer.

If copying the form to send by mail or fax, you will need to send the billing address along with faxed application.

All applications without application fee will not be reviewed for entrance to our Academy.

By choosing "Submit Application" you authorize EAVS to draft your credit card for the amount shown on this form. You acknowledge that you are the owner or authorized signer on the credit card information. Your order will be processed through electronic credit card deposit.

I understand that the Ayurveda Certificate does not qualify me to practice medicine, nor does it guarantee employment for my behalf. I agree to use my knowledge according to the applicable laws in the state where I reside. These certificates are for education purposes only, and not meant to be a substitute for regular medical care, nor are they intended to provide treatment or prescription for any disease. By agreeing to the statement below, I certify that I have read, understand and agree to this statement.

I do here certify to the best of my knowledge, all of the above answers and statements in this application are true, and give an accurate and adequate account of my background and beliefs.

To Authorize Please Type "I Agree" Here: