Apply for Registration

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To,
The Registrar
Naturopathy Registration Department
G-513, Malviya Nagar New Delhi, 110062

Subject: For the Practitioner: Registration

Dear Sir, You are requested to Practitioner Registration of Naturopathy Registration Department, New Delhi

Practitioner Name

First

Middle

Last

Date of Birth

Age

Gender

Religion

Mobile Number

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Practitioner Experience

Less than a year
1-2 years
2-3 years
More than 3 years

Qualification

University's College Name

Practice Details Hospital Clinic Name

Hospital Clinic Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

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1) PASS PHOTO COLOR, 2) AADHAR CARD, 3) PAN CARD, 4) 12th MARK-SHEET, 5) 12th TC/LC, 6) DEGREE/DIPLOMA, CERTIFICATE 7)MARK-SHEETS ALL 8) OTHER CERTIFICATES 9) IF ANY OTHER REGISTRATION

Agree

I certify that this information is complete and accurate. I understand that making false or fraudulent statements within this application or residency statement will result in disciplinary action, denial of Practitioner, and invalidation of Registration earned. If I apply, I agree to abide by the policies of the Department of Registry and the rules and regulations of the Naturopathy Registration Department. Should any information change prior to my entry into the Naturopathy registration department, I will notify the Office of Admissions. I understand that the application fee I submit with this application is a non-refundable fee.

Do you understand and agree to the terms listed above?