Let The World Know YOU !

It is here to knock you now………………..

You can be just a click away from the world !!…….. let the world know you as the Alternative Medical Practitioner of IBAM.........……………..

Enlist your name with photo in our website and reach out to the millions of people all over the world.

The annual enlistment fee is Rs.500/-

Application Form

Name : ....................................................................................................................................................................

Father's / Husband's Name: ....................................................................................................................................

Date of Birth:...........................................Sex: ...........................................................

Qualification: ............................................................................................................................................................

Address: ..................................................................................................................................................................

.................................................................................................................................................................................

............................................................................................Pin:................................................................................

Registration No.:

IBAM.............................................................................................................................................

Telephone No:..........................................Mobile:........................................... ...........

Fax:....................................E-mail:.................................................................. ...........

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

Date:                                                                                                                                      Signature

Please enclose following:

Xerox copy of your IBAM Registration certificate. (ii) Two Photographs  (iii) The Fees by Money Order or Demand Draft in favour of "Indian Board of Alternative Medicines", 80 Chowringhee Road Kolkata - 700020 payble at Kolkata.

Please send at:

INDIAN BOARD OF ALTERNATIVE MEDICINES

80, Chowringhee Road, Kolkata-20,

Phone: 033-24769361, Fax: 033-24853845

E-mail: altmedinstitute@gmial.com, Web: www.altmedworldwide.com