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Apply for Yoga Exam Centre
Examination Centre Consent Form
To
Exam Controller MSPL , PrCB
Approved by Yoga Certification Board
(Ministry of Ayush,Govt of India )
We are submitting our consent to provide you the required infrastructure for the examination to be conducted by you with following details.
(A) Institution Details
Name
*
Address
City
State
Andra Pradesh
Arunachal Pradesh
Assam
Bihar
Chhattisgarh
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Madya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Orissa
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telagana
Tripura
Uttaranchal
Uttar Pradesh
West Bengal
Andaman and Nicobar Islands
Chandigarh
Dadar and Nagar Haveli
Daman and Diu
Delhi
Lakshadeep
Pondicherry
Pin Code
Email Id
Land Line No
Website
(B) Personal Information
S.No.
Designation
Name
Email ID
Mobile Number
1.
*
2.
3.
4.
5.
(C) Infrastructure Details (Select One from each)
S.No.
Room Type
Furniture
Air Conditioned
Seating Capacity
1.
Select
Hall
Room
Select
Table Chair
Bench
Other
Select
Yes
No
2.
Select
Hall
Room
Select
Table Chair
Bench
Other
Select
Yes
No
3.
Select
Hall
Room
Select
Table Chair
Bench
Other
Select
Yes
No
(D) Examination Details
Subject :
Voluntary Certification of Yoga Professional
Type of Exam (Theory / Practical) :
Theory & Practical
Date of Exam :
  Time : 9:00 AM to 7:00 PM
Expected Number of Students :
I hereby certify that the information provided above is true to the best of my knowledge and belief. If any information is found to be false/ incorrect, it will reject my centre in
MSPL-PERSONNEL CERTIFICATION BODY , HISAR.
Yours Truly
Name :
Designation :
Date :