Course Registration Delhi-NCR

THIS FORM IS FOR DELHI-NCR CLASSES ONLY. FILL CANDIDATE'S DETAILS.

EMAIL ID

FIRST NAME

LAST NAME

FATHER'S / HUSBAND'S NAME

DATE OF BIRTH

GENDER
---MALEFEMALETRANSGENDERPREFER NOT TO SAY

MOBILE NUMBER

ALTERNATE NUMBER

YOUR ADDRESS

CITY / TOWN

STATE / PROVINCE

COUNTRY

POSTAL / PIN CODE

PROFESSION / DESIGNATION

HOW DID YOU HEAR ABOUT US?
---WEBSITEFACEBOOKYOUTUBEWHATSAPPFAMILYFRIENDINSTAGRAMGOOGLE SEARCHTWITTERLINKEDINNEWSLETTERNEWSPAPER ARTICLETELEVISION MEDIAOTHERS

SELECT COURSE/S
*COMBO* USUI REIKI (LEVEL 1&2) - ₹6400 (20% OFF)USUI REIKI HEALER (LEVEL-1) - ₹3000USUI REIKI ADVANCE HEALER (LEVEL-2) - ₹5000USUI REIKI MASTER HEALER (LEVEL-3) - ₹8000KARUNA REIKI HEALER - ₹7000USUI REIKI MASTER TEACHER (LEVEL-4) - ₹31000USUI REIKI GRAND MASTER (LEVEL-5) - ₹28000PAST LIFE TEACHER COURSE - ₹10000DOWSING COURSE (BASIC) - ₹7000CLINICAL HYPNOTHERAPIST COURSE - ₹10000ARABIC RAMAL SHASTRA TEACHER COURSE - ₹7000OTHER

DATE OF CLASS

₹₹ ENERGY EXCHANGE METHODS ₹₹
---CASHUPI ID (usuireiki@kotak)GOOGLE PAY (9873029525)PHONEPE (9873029525)PAYTM (9873029525)BANK TRANSFER:- (A/C Name: RUPA BARANWAL) (A/C No.: 7113667281) (IFSC Code: KKBK0000811)FOR ANY PAYMENT RELATED ISSUE CALL 7011811526

FEES PAID (IN TOTAL)

SCREENSHOT OF PAYMENT
Attach the screenshot of online payment below or send it to the official Whatsapp number "9873029525" or on email id "workshop@usuireiki.in" for seat confirmation.