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OCCULT TREASURES
Admission Form |
INSTITUTE OF ASTROLOGY AND OCCULT SCIENCE
Admission form
Name:
Fathers Name:
Date Of Birth:
Address:
State;
Country:
Postal Code:
Home phone:
Work phone:
Mobile:
Fax:
Email:
Gender:
Nationality:
Are you a member of any spiritual organization
Yes No
If Yes Name of the organization:
Have you ever attended Astro-Occult Course before
Yes No
Do you have any paranormal ability:
Your Choice
Course Name:
Do you have any disabilities or learning
difficulties
Yes No
If you replied Yes, please identity the nature of
your disability or learning difficulty (e.g. Hearing
Impaired)
This information is confidential and will only be
used to provide
Appropriate support for you during your time at
institute.
E Mail this to us.
Commitment of the organization
This organization is committed to ensuring equality
for all current and potential students irrespective
of their age, race, gender, special
Educational needs, religion or marital status.
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International
Institute Of Astrology and Occult science (REGD
072)
Bhavisyabani, Nuagaon Square,
Vijoy Vihar, Bhubaneswar 2,
Pin:751002
Ph:+91 0674 2343574 , 2343474,Fax:+91 0674
2343474 24 Mob:+91 9437020474
E mail: info@occulttreasures.com |
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