Institute of Vedic Astrology: Application Form

Institute of Vedic Astrology
West City Campus, 20-D, Sector C, Scheme No. 71, Indore-452009 (MP) India
Helpline:(0731)6461235,6461236 email: admission@ivaindia.com Website: www.ivaindia.com
APPLICATION FORM
Note for filling Application Form : Select what is written in brown below and type information above it. If you do
not know anything like say time of birth then leave it blank. Please do not leave any information blank unless you
do not know it. Please be specific.
Name : <type your name here>
Father's/Husband's Name : <type your father's or husband's name here>
Gender : <type M for Male and F for female > Date of Birth : <type your date of birth >
Time of Birth : <type your time of birth > Place of Birth : <type your place of birth >
Permanent Address : <type your complete Permanent address. Use the blank space in next line for same >
City: <type city name >
State : <type state > Pincode : <type pincode / zipcode >
Correspondence Address: <type address where you wish to receive study material>
. City: <type city name>
State : <type state> Pincode : <type pincode / zipcode >
Tel. No. (M) : <type mobile number> (R): <type residence phone number with STD code>
(O) : <type office phone number with STD code>
E-mail 1 : <type your Email id here. Please re-check it>
E-mail 2 : <type your alternate Email id here. Please re-check it>
Qualifications : <type your latest academic qualification here >
Profession : <type your profession here. Please describe responsibilities you handle>
How did you come to know about us? <choose from Newspaper Ad, Old student reference (his/her name
please), Internet, Email, Other (please specify)>
Institute of Vedic Astrology – Application Form Page 1 of 4

Course in which Admission is sought :
<select Diploma or Post Graduate Diploma. Diploma is of 6 months while Post Graduate Diploma is of 12 months.
We recommend Post Graduate Diploma for people who wish to get in-depth knowledge of the subject>
Diploma in Astrology (DIA) Post Graduate Diploma in Astrology (PGDIA)
Diploma in Vastu Shastra (DIV) Post Graduate Diploma in Vastu Shastra (PGDIV)
Diploma in Palmistry (DIP) Post Graduate Diploma in Palmistry & Face Reading (PGDIP)
Diploma in Gems & Crystals (DIG) Post Graduate Diploma in Gem & Crystal Therapy (PGDIG)
Diploma in Feng Shui (DIF) Post Graduate Diploma in Feng Shui (PGDIF)
Diploma in Numerology (DIN) Post Graduate Diploma in Numerology (PGDIN)
Diploma in Tarot Reading (DIT) Post Graduate Diploma in Tarot Reading (PGDIT)
Post Graduate Diploma in KP Astrology (PGDIK)*
Vedic Astrology Shiromani Course (SMCIA) *
Vedic Vastu Shiromani Course (SMCIV) *
*Available only for students who have completed Post Graduate Diploma in respective subjects
Medium of Instruction : <type English if you wish to receive study material in English or type Hindi
if you wish to receive study material in Hindi>
Track : <type Regular if you wish to receive 1 Module per month. Recommended for slow learners and busy
people. through Regular track Diploma course completes in 6 months and PG Course completes in 1 year. type
Intermediate if you wish to receive 2 Module per month. Recommended for fast learners and people who can
devote more time. through Intermediate track Diploma course completes in 3 months and PG Course completes
in 6 months. type Fast Track if you wish to receive 3 Module per month. Recommended for people who have

prior knowledge of the subject and people who wish to become professionals and can devote full time in studies.
through Fast track Diploma course completes in 2 months and PG Course completes in 4 months. Intermediate
and Fast track are available to students who pay full fees at the time of admission.>
Fee Payment Details
Fee Amount Paid : <type Amount of Fees paid > Date : <type Date on which fees is paid>
Method of Payment : <type Method by which you have made the payment i.e. Online bank payment, cheque
deposit in our ICICI/SBI bank, cash deposited in our ICICI/SBI bank, cash payment, cheque or DD sent to us,
money order, online payment on our website through our gateway (CCAvenue) system, online payment on our
website through credit card, paypal, western union, moneygram>
TERMS AND CONDITION
1. Acceptance of form is at sole discretion of Institute of Vedic Astrology.
2. Fees once paid shall not be refunded under any circumstances.
3. Change of address should be informed immediately to the institute as this is the responsibility of the
student. Student not getting study material on time should inform immediately to the institute.
4. Institute has made every effort to ensure that the contents of study material are correct. However,
Institute accept no responsibility for any errors, omissions or damage caused as an effect there of.
5. Change of medium is possible by paying Rs.700/- immediately after receiving first module and study
material. Medium cannot be changed after dispatch of second module.
6. Partially filled form and forms without prescribed fees will be rejected.
7. Since all the courses are updated on regular basis, therefore syllabus of course is subject to change
without any prior notice.

8. Students who do not pay their installment fees will not be sent study material until dues are cleared.
They shall not be allowed to appear in examination. Students will have to pay late fees of Rs. 400 if
they send their installment after due date.
9. Disputes, if any, subject to competent forum and courts of Indore jurisdiction only.
DECLARATION
I have studied the details thoroughly. I have understood the terms and conditions of Institute of Vedic Astrology
mentioned above and I hereby agree to abide by them.
Place : <enter the city where you are filling this form>
Date : <enter today's date>
<Since this is an electronic document so just type your name after signature> Signature :

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Institute of Vedic Astrology

Name : <type your name here>

Father's/Husband's Name : <type your father's or husband's name here>

City: <type city name >

State : <type state > Pincode : <type pincode / zipcode >

. City: <type city name>

State : <type state> Pincode : <type pincode / zipcode >

(O) : <type office phone number with STD code>

E-mail 1 : <type your Email id here. Please re-check it>

E-mail 2 : <type your alternate Email id here. Please re-check it>

Qualifications : <type your latest academic qualification here >

please), Internet, Email, Other (please specify)>

Institute of Vedic Astrology – Application Form Page 1 of 4

Course in which Admission is sought :

Diploma in Astrology (DIA) Post Graduate Diploma in Astrology (PGDIA)

Diploma in Numerology (DIN) Post Graduate Diploma in Numerology (PGDIN)

Post Graduate Diploma in KP Astrology (PGDIK)*

Vedic Astrology Shiromani Course (SMCIA) *

Vedic Vastu Shiromani Course (SMCIV) *

if you wish to receive study material in Hindi>

Institute of Vedic Astrology – Application Form Page 2 of 4

Fee Payment Details

website through credit card, paypal, western union, moneygram>

TERMS AND CONDITION

1. Acceptance of form is at sole discretion of Institute of Vedic Astrology.

2. Fees once paid shall not be refunded under any circumstances.

material. Medium cannot be changed after dispatch of second module.

without any prior notice.

Institute of Vedic Astrology – Application Form Page 3 of 4

they send their installment after due date.

mentioned above and I hereby agree to abide by them.

Date : <enter today's date>

Institute of Vedic Astrology – Application Form Page 4 of 4

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