Member Institution Application Form

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Member Institution Application Form

Scope of activity (Please tick anyone)

Registry (Please tick anyone)

General Information

Name of Organization* (required) *

Nature of Institution: *

(Under Central Govt. / State Government / Public Sector / Private / Autonomous / Trust / Society Act / Firm etc.)

Email* (required) *

Telephone Number* (required)

Website Address

Organization’s Facebook ID

Twitter Account

Communication Address* (required)

City* (required)

State* (required)

Pin code* (required)

Country

Single Point of Contact:

Name *

Phone No*

Mobile No. *

Email Address* *

Vision & Mission of Organization

Vision

Mission

Centre Details

Year of Establishment *

Number of Years in operation: *

Founder Guru/Member* *

Popular Guru *

Present Head *

Members of Organization in National Committees / State Committees

Name Members of Organization 1

Name Members of Organization 2

Name Members of Organization 3

Certificate of incorporation (for not-for-profit company) /Registration with Society/Charity Commissioner & Date*

Registration No.*

Copy of Constitution/MOA/by-laws*: (Sent through email)

No. of Branches / Centers:

In India

Outside India

Statewide

Nationwide

Yoga Activities in the Organization

General Yoga Classes

Yoga Teacher Training Courses

General Yoga Therapy:

General Yoga Publications

General Yoga Research

Other Yoga Activities

General Activities in the Organization

Any Legal complaints against the institute

Reference By *

Your Message

I confirm that the information given in this form is true, complete and accurate.

I have read and agree to abide by the IYA Code of conduct and ethics

Phone

31916