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Affiliation and Accrediation

Name*

Father's Name*

Date of Birth*

Email*

Residential Address*

Permanent Address*

Mobile*

City*

State*

Pincode*

Educational Qualification*

Technical Qualification*

Experience*

Your future plan & Ambitions*

Are you a Massage Therapist? If yes, how many years*

Do you have knowledge in other type of massage?If yes, details required*

Do you have any physical limitaions?
yes/no*

How do you know about AIM?*

Fees*

Course Date*

Alcohol, Smoke and tobacco strictly prohibited before and during the classes
Photo copies of the essential documents are to be submitted on before the course starts
Mobile phones prohibited during the class hrs
Lunch hrs will be 30 min
The total fee must be paid before the commence