+61 7 5532 2001

126 Scarborough Street, Southport, QLD 4215, Australia

Enrol domestic student

Domestic Student Enrolment

Instructions

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.

    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

    You must agree to pay our compulsory AUD$250 enrollment fee.

    Methods of payment:

    After submitting this form, you will be taken to PayPal where you may pay your AUD$250 enrollment fee. Alternatively, after submitting this form, and being taken to the PayPal interface, you may back out of PayPal and then contact our office to arrange an alternative method of payment.

    Amount Payable

    Price: $ 250.00

    Enrollment fee for accredited course

    We offer the highest yoga qualification you can obtain
    not only in Australia but in the world.

    We look forward to welcoming you to Health Institute Australasia

    Enroll Now!