Enrollment Form

Those interested in starting a course should complete the Enrollment Form and sent it to maitriyana@hotmail.com

ENROLLMENT FORM

Names: 

Last Name: 

National Identification Number: 

Birth-date: 

Full Postal Address: 

Phone: 

Email: 

Profession: 

Studies: 

Chosen Degree: 

Reasons and Expectations: 

Means of Payment:  PayPal / Bitcoin
Agree with Internal Regulations: Yes, I agree
https://maitriyana.com/2016/08/30/statutes/