MORARJI DESAI NATIONAL INSTITUTE OF YOGA
Ministry of AYUSH, Govt. of India

68, Ashok Road, Near GoleDakKhana, New Delhi – 110 001

Sr. No………….

APPLICATION FORM

For Admission to

Foundation Course in Yoga Science
For Wellness (FCYScW)

(A part time course of One Months 50 (Hrs.) duration)

Name (in capital letters):

Father’s / Husband’s Name:

Mother’s Name:

Date of Birth:

Age as on 1 st Day of Month:

Sex (M/F):

Nationality:

Material Status:

Blood Group:

Complete Correspondence Address (along with postal pin code)

Permanent Address:

Tel. No./ Mobile No. / Fax/e-mail:

Details of Educational Qualification: please enclose self-attested photocopies of the certificates. (From High School / 10th class onwards)

Name of the Passed Exam Board / Univ. Year of Passing Division & % of marks Subjects
         
         

Venue

SI. No. Venue Timings (Morning/Evening) Max Seats
1.

Morarji Desai National Institute of Yoga
68 Ashok Road, Near Gole Dak Khana,
New Delhi-110001

7 a.m. to 9 a.m.


3:30 p.m. to 5:30 p.m.

45


45

2.

Dr. Shyama Prasad Mukherjee Swimming Pool Complex
Mother Teresa Crescent Road,
Talkatora Garden, New Delhi-110001
Entry Gate No.1

7 a.m. to 9 a.m.

45

3.

Major Dhyan Chand National Stadium India Gate, New Delhi-110002
Entry Gate No. 7

7 a.m. to 9 a.m.


4:30 p.m. to 6:30 p.m.

45


45

4.

Indira Gandhi Stadium Complex
I.P. Estate, Near Raj Ghat, Grand Trunk Road, Delhi-110002
Entry Gate No. 22

7 a.m. to 9 a.m.


4:30 p.m. to 6:30 p.m.

45


45

5.

Jawaharlal Nehru Stadium
Bhishma Pitamah Marg, Lodhi Raod, Delhi-110003
Entry Gate No. 10

7 a.m. to 9 a.m.

45

6.

Amity Centre for Yoga Education, Therapy and Research. Under the aegis of MDNIY,
FF, G Block Swimming Pool Area, Sector 125,
Amity University Uttar Pradesh, Noida - 201313.

7 a.m. to 9 a.m.


5 pm to 7 pm

50


50

Preferred Venue (mention in the table):
(Mandatory) :

Preferred Timing (mention in the table):

Why do you wish to undertake this course?:


CERTIFICATE

This is certified that the information furnished above is true to the best of my knowledge and belief and that nothing has been concealed or misrepresented. This is also certify that I am not suffering from any acute/chronic/communicable diseases.

Date:

Place:

Signature of the Candidate


INSTRUCTIONS

  1. Application should be submitted at Morarji Desai National Institute of Yoga, 68, Ashok Road, Near Gole Dak Khana New Delhi-110001 / or Yoga Centres on or before the last date specified in the Notification.
  2. Candidate will have to abide by the rules and regulations of the Institute while undertaking the Course.
  3. Mere applying for the course shall not confer any right upon the candidate to be selected.

(FOR OFFICE USE ONLY)

Enrolment No:

Date: