+61 7 5532 2001

126 Scarborough Street, Southport, QLD 4215, Australia

Enrol domestic student

Domestic Student Enrolment

This enrolment form is for enrolling in our accredited Yoga and Ayurveda courses. If you wish to enrol in a short course, please see our short course enrolment form. Domestic applicants are citizens or lawful permanent residents of Australia. If you are a citizen or resident of another country, please see our International student enrolment form.

STEP 1

Please fill in and submit the enrolment form below.

STEP 2

Use the PayPal button to pay for your compulsory AUD$250 Student Enrolment Fee.

    Course Selection

    Wish to study *:-

    Your Details

    Name of organisation / Company name

    Leave this blank of not applicable

    Gender
    Date of Birth*
    Please enter your age in digits (e.g. 35)
    Street Address 1 *
    Street Address 2

    Your Education

    Your Academic History

    Have you ever studied any of the following?

    Do you have any Teaching or Assessing background?

    Certificates & Supporting Documentation

    Please include copies of certificates or other supporting documentation. If you need to send more than 6 attachments, please email them to our office by replying to our confirmation email.

    Medical

    Are you under medical attention at the present time?*

    Emergency Contact

    Please include the name and phone number (including country and area code) of a person or persons we can contact in the case of an emergency.

    Conditional Terms

    Under or over 18*

    Terms and Conditions for accredited courses*

    I certify that the information provided on this form is true and correct, and I agree to abide by the terms and conditions of The Health Institute Australasia Pty Ltd including the refund policy, of which I have read and understood.

    Privacy Policy*

    I agree to the Privacy Policy of The Health Institute Australasia Pty Ltd, of which I have read and understood.

    Enrollment Fee

    After submitting this form, you must agree to pay our compulsory AUD$250 enrolment fee. A PayPal button is available on this page. Alternatively, please contact our office to arrange an alternative method of payment.

    Enrollment fee for accredited course

    After successful submission of the form, please use PayPal to pay the $250AUD enrolment fee.

    Do you have questions? Call us.