Application Form - The Association

Membership Application Form

1. Personal Details

Title

Gender

Male

Female

Date of Birth

Birth Month

Year of Birth

Nationality

First Name

Last Name

Home Address

Street Address

Address Line 2

City

County

Post Code

Country

Home Telephone

Mobile

Your Message

2. Type of Membership

Type of membership

4. Clinic Details

Clinic Address

Street Address

Address Line 2

City

County

Post Code

Country

Website

Do you hold a practice UK registered professional indemnity insurance with specific cover for your Ayurvedic Practice?

How long have you been practicing Ayurvedic Medicine for?

What is the area of your specialisation?

How many CPD events in the field of Ayurveda have you attended in the previous calendar year?

Please Note: Before completing this form please ensure you have read and understood the application process. You can upload supporting documents via the form. You can save the form and return to complete it at a later date if you wish.

YEARLY MEMBERSHIP FEES:

Full member: £50.00
Associate members: £30.00
Student members: £20.00
Overseas members: £20.00

Membership Application Form

1. Personal Details

2. Type of Membership

3. Professional Ayurvedic Eduation

4. Clinic Details

5. Other Professional Qualifications

6. Other Information

YEARLY MEMBERSHIP FEES: