ACUMEDU
About
AFFILIATIONS
Advanced Acu Diploma
ADMISSION
APPLY ONLINE
E-DOCUMENT SUBMISSION
PAY ONLINE
PRODUCTS
step 1/3 - ACUPUNCTURE ONLINE COURSE APPLICATION FORM
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Indicates required field
Student Name
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First
Last
Father's Name
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First
Last
Date of Birth (DD/MM/YYYY)
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Ph/WhatsApp Number
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Email
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Address
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Line 1
Line 2
City
State
Zip Code
Country
Course(s) Applying for
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Advanced Diploma in Acupuncture (A.D.Acu.)
Name of the recognized examination passed
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SSLC / 10th
HSC / +2
Under Graduate Degree
Post Graduate Degree
Passed / Currently Pursuing
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MBBS
BNYS
BAMS
BHMS
BSMS
BUMS
BDS
MD / MS / PG Diploma / DNB
BPT
BOT
Any other Approved Course
Have you made the fees payment online?
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Yes. I have already paid online
No. I will have pay within today
Medical Course Present Status
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Currently Studying
Passed Already
Year of joining / passing Medical Course (Ex.2010)
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Mention your School / College Name
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Mention your University Name
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Are you employed (if yes, Designation)
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UNDERTAKING BY THE CANDIDATE
By submitting this online form, I hereby solemnly affirm that I have been informed by SIXTH SENSE WELLNESS INSTITUTE that the course which I am pursuing under vocational Education Program is to enhance my professional skill in the respective field. I also understand that merely by submitting this form I will be evaluated and only after which my admission will be granted*.
I am aware that the documents submitted by me are subject to verification from concerned board or university or state education department.
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after submitting the scanned copies of photo, id proof, certificates
and paying the prescribed fees
I request that I may be enrolled as a student of ACUMEDU BATCH - SIXTH SENSE WELLNESS INSTITUTE
Submit
About
AFFILIATIONS
Advanced Acu Diploma
ADMISSION
APPLY ONLINE
E-DOCUMENT SUBMISSION
PAY ONLINE
PRODUCTS