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Mansa Institute of Medical & Health Sciences: O Kolkf D Esfmdy ,.M Gsyfk V Sfuax Lsuvj

1) The document is an admission form for the Mansa Institute of Medical & Health Sciences located in Jaipur, Rajasthan. 2) The institute offers certificate and diploma courses in community health, ayurveda therapy, homeopathy, naturopathy, and yoga teacher training. 3) The form requests information from applicants such as name, address, education qualifications, photo, and course selection in order to process admission. Payment details for course fees to the institute's bank accounts are also provided.

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189 views1 page

Mansa Institute of Medical & Health Sciences: O Kolkf D Esfmdy ,.M Gsyfk V Sfuax Lsuvj

1) The document is an admission form for the Mansa Institute of Medical & Health Sciences located in Jaipur, Rajasthan. 2) The institute offers certificate and diploma courses in community health, ayurveda therapy, homeopathy, naturopathy, and yoga teacher training. 3) The form requests information from applicants such as name, address, education qualifications, photo, and course selection in order to process admission. Payment details for course fees to the institute's bank accounts are also provided.

Uploaded by

A J
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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AVI No. 670046 Mob.

: 9982309761, 9982409761

MANSA INSTITUTE OF MEDICAL & HEALTH SCIENCES


O;kolkf;d esfMdy ,.M gsYFk Vªsfuax lsUVj ¼Hkkjr ljdkj }kjk tkjh lEiw.kZ Hkkjr esa ekU;½
Affiliated to : NIOS, MHRD Govt. of India, jk-eq-fo-la-] ekuo lalk/ku fodkl ea=ky; Hkkjr ljdkj (WHO Guideline)
37-38, Uttam Nagar, Kalwar Road, Kardhani, Near Govindam Tower, Govindpura, Jaipur (Raj.)-302012

Admission Form O;kolkf;d LokLF; ,oa iSjk esfMdy fpfdRlk lsok;sa


SESSION : 20....... - 20.......
PHOTO
1. Full Name (Capital Letter) ..............................................................................
2. Fathers/Husband Name .................................................................................
3. Mother’s Name ...............................................................................................
4. Date of Birth .............................................................. 5. Sex : Male / Female ...........................
6. Full Address ¼iw.kZ irk½ ..............................................................................................................
...................................................................................................................................................
7 ............................................................................. ¼d`i;k eksckbZy ua- 2 vyx&vyx fyf[k;sA½
8. E-mail : ......................................................................................................................................
9. Name of Course ¼ikB~;Øe dk uke½
1. CCCH (Certicate Course In Community Health-lkeqnkf;d LokLF; +
CMS & ED (Community Medical Service & Essential Drugs)
,yksiSFkh
2. CCAT (Certicate Course In Ayurveda Therapy-vk;qosZn fpfdRlk i)fr)
3. CCHD (Certicate Course In Homeopathy Dispensing-gksE;ksiSFkh½
4. DNYS (Diploma In Naturopathy & Yogic Science ;ksx ,oa izkd`frd fpfdRlk esa fMIyksek)
¼lgk;d fpfdRld - Asst. Doctor½
5.YTT (Yoga Teacher Training Programme - ;ksx f’k{kd)

d`i;k tks dkslZ vki djuk pkg jgs gS ml ij fVd (Tick ) dk fu’kku yxkb;sA

10. Education Qualication ¼’kS{kf.kd ;ksX;rk½ .................................................................................


11. Other Qualication ............................................................ Experience : Yes /No. ...................

izos’k ds LFkku lhfer gS vr% ‘kh?kz vfr’kh?kz izos’k ysosaA


d`i;k bl QkeZ dh QksVks LVsV fudkydj dj Hkjsa ;k ;k blesa pkgk x;k fooj.k fdlh Hkh isij ij fy[kdj gekjs okV~lvi (Whatsapp) No.
9982309761 / 7023797979 vko;’d MksdksesUV~l ds lkFk ij Hkst nsosaA %& 1- 10oha ikl ekdZ’khV @ 12oha ikl ekdZ’khV 2- vk/kkj dkMZ 3- QksVks
fpidk nsos 4- dkslZ ‘kqYd baLVhV~;wV ds fuEufyf[kr [kkrs esa tek dj lqfpr djsaA izos’k izfØ;k ds lkFk Qhl dh jfln vfoyEc Hkst nh tk;sxhA
dkslZ dh lHkh cqDl Hkkjr ljdkj @ WHO }kjk fizUVsM gS tks vfr ‘kh?kz vkidks miyC/k djokbZ tk;sxhA
Bank Name :- ICICI BANK, Branch Name :- Kardhani, Jaipur, Account Name : MANSA MEDICAL AND HEALTH
TRAINING INSTITUTE, Account No. : 418101000226, IFSC :- ICIC0004181, Mob. : 9982409761
OR@ ;k
Bank Name : SBI Bank , Branch Name : Govindpura, Kalwar Road, Jaipur, Account Name : MANSA MEDICAL
AND HEALTH TRAINING INSTITUTE, Account No. : 61341912787, IFSC : SBIN0032365, Mob. : 9982409761

Website : www.mansahealth.com ¼vf/kd tkudkjh ds fy, voyksdu djsa½

Signature of Co-Ordinator Date ................................ Signature of Applicant

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