REQUEST FOR ENROLMENT IN GENERAL CLASSES AT THE RAMAMANI IYENGAR MEMORIAL YOGA INSTITUTE (RIMYI) This section to be filled out by the applicant. Last name ____________________________ First name ______________________________ Middle/other name __________________ Age _______ Sex Male/Female ________________ Address: Street ________________________________ City ____________________________________ State/Province/Prefecture _____________________ Country ____________________________ Zip/Postcode _______________________________ Contact Nos. Country code _______ area code ______ Number ________________ Fax _________________ Email address ________________________________ No.of years practising Iyengar Yoga _________________ Main Teacher __________________________ What frequency of study with them (daily, weekly, workshops) ____________________ Date of last class taken with the teacher ____/_____/_____ Can you speak English? Yes / No Any previous classes or intensives at the RIMYI? Yes / No If applicable the most recent date of attendance. From (month/year) ____/____ to _____/______ Applying for admission for: (Number as for your preference) June / July (put year) Aug / Sept Oct / Nov Dec / Jan The deposit of $US150.00 currency made out to RIMYI in the form of a bank draft/cheque or international money order (do not send cash). The amount sent $________________ Signature ___________________ Date:_____/_____/______ The Following is to be filled by the referring certified teacher. Dear Mr. Pandurang Rao, I, .............................................. herewith recommend ...............................................who has studied yoga with me for ............ years. She/He has also attended .............courses with senior teachers. As per my knowledge, she/he is a genuine pupil/teacher who follows the Iyengar method. Yours sincerely, ........................................ Date: ......./......./........
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