Do following

1. Complete the form

2. Enclose a demand Dtraft of Rs 6000 in favour of INDIAN BOARD
OF ALTERNATIVE MEDICINES payable at Calcutta
3. Enclose three passport size photographs, Write your name of the
back side of the photograph so that they do not mix up
4. Enclose photocopy of the Diploma
5. Take a character certificate from any responsible person (not
necessarily gazetted), may be from some colleague or doctor
etc.
6. Send all of them by courier or regd post to

The Secretary
Indian Boardof Alternative Medicines
80 Chowringhee Road
Calcutta- 700020

They will send you one identity card and a certificate within one month.
You will have to get it renewed after one year for permanent registration.

Regards
 Indian Institute of Alternative Medicines
80, Chowringhee Road, Calcutta-700 020
Affiliated with
INDIAN BOARD OF ALTERNATIVE MEDICINES
R.M.P. Application Form

Name:

Husband's Name:

Date of Birth:

Sex:

Qualification/Titles: DIPLOMA IN CLINICAL HYPNOTHERAPY

Nationality: INDIAN

Present Address:

Permanent Address: As above

Telephone:
Fax:
E-mail:

Payment Details: Rs 6000/-

Bank Name:
Payment Mode: Cheque/ Draft No:
Dated: Amount:

Choose your system:

_/Alternative Medicines : Electro Homeopathy : Naturopathy & Yoga : Acupressure &

Magnetotherapy : Acupuncture : Medicinal Herbalism : Others

I solemnly declare that the above facts are correct to the best of my knowledge.

Signature:
Date:
 TO WHOMSOEVER IT MAY CONCERN

Certified that I know Mr/Ms……………………………………………………… S/o

------------------------------------------------- R/o

-------------------------------------------------------------------------------------------------------

-------------------- ---------------------- ------------------------- for the last five years.

He bears a good moral character.

 Indian Institute of Alternative Medicines
80, Chowringhee Road, Calcutta-700 020
Affiliated with
INDIAN BOARD OF ALTERNATIVE MEDICINES
R.M.P. Application Form
Name: KAVITA

Husband's Name: NARENNDRA KUMAR

Date of Birth: June 14th 1959

Sex: FEMALE

Qualification/Titles: M A PSYCHOLOGY, DIPLOMA IN CLINICAL HYPNOTHERAPY

Nationality: INDIAN

Present Address: ??????????

??????????PATPARGANJ, DELHI - 110092

Permanent Address: As above

Telephone: + 91 …..
Fax:
E-mail: ///////@gmail.com

Payment Details: Enclosed separately

Bank Name:
Payment Mode: Cheque/ Draft No:
Dated: Amount:

Choose your system:

Alternative Medicines Electro Homeopathy Naturopathy & Yoga Acupressure &

Magnetotherapy Acupuncture Medicinal Herbalism Others

I solemnly declare that the above facts are correct to the best of my knowledge.

Signature:
Date:
 TO WHOMSOEVER IT MAY CONCERN

Certified that I know Smt. Kavita W/o SHRI N.

Kumar
R/o ?????????????????????????????????? ?????????
?? ??????? for the last five years.

She bears a good moral character.