Course Registration Outstation (India)

THIS FORM IS FOR OUTSTATION (INDIA) CLASSES ONLY. FILL CANDIDATE'S DETAILS.

EMAIL ID

FULL NAME

FATHER'S / HUSBAND'S NAME

DATE OF BIRTH

GENDER
---MALEFEMALEPREFER 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
USUI REIKI HEALER (LEVEL-1) - ₹3000USUI REIKI ADVANCE HEALER (LEVEL-2) - ₹5000USUI REIKI MASTER HEALER (LEVEL-3) - ₹10000KARUNA REIKI HEALER - ₹10000USUI REIKI MASTER TEACHER (LEVEL-4) - ₹35000USUI REIKI GRAND MASTER (LEVEL-5) - ₹32000PAST LIFE TEACHER COURSE - ₹13000DOWSING COURSE (BASIC) - ₹8000CLINICAL HYPNOTHERAPIST COURSE - ₹15000OTHER

DATE OF CLASS

PLACE OF CLASS

₹₹ ENERGY EXCHANGE METHODS ₹₹
---RAZORPAY PAYMENT GATEWAYPAYPAL_ID (USUIREIKIFOUNDATION)CASHUPI ID (usuireiki@kotak)GOOGLE PAY NO. (9873029525)PHONEPE NO. (9873029525)PAYTM NO. (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.