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MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweDo you speak any other languages besides English?YesNoIf yes, please list them below0 / 180 Emergency Contact DetailsFirst NameLast NameEmail AddressPhone EducationHigh School or Equivalent NameGraduation DateSchool AddressCityState/ProvinceCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChina, People’s Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d’IvoireDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People’s Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People’s Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre & MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabwe Additional EducationPlease fill in any additional courses or programs you have completed.Current Occupation Alternative HealingPlease let us know if you have any experience in alternative healing, whether you have gone for sessions or do sessions? If not, it isn't vital. Health All our programs are a self healing journey. We want to know how best to help, guide and hold space for you on this journey. All information will be kept confidential, unless you choose to share with others.Please explain any physical health issues below.Please explain any psychological health issues below.Please explain any spiritual or metaphysical issues below, if you know these.Document uploadsPlease upload a copy of ID and any certificates. Please download the prospectus and student conduct forms from the website, sign and upload below.Drag and Drop (or) Choose FilesVirtual Signature I, {name-1} {name-3} {name-4} confirm that all information is true and correct to my knowledge and if any major changes occur, I will notify the instructors.Consent * Yes, I accept and agree to the above statement.Spiritual Contract Please take 3 deep breathes before signing this. I, {name-1} {name-3} {name-4} , promise to complete this qualification to my highest purpose for the benefit of myself and others. May I become a healer for the benefit of all.Consent * Yes, I accept and agree to the above statement.Terms and conditions Please read carefully and sign at the bottom. Please note that module tests will take place on the first day of the following module. If you fail your test, you will get 1 more chance to rewrite, thereafter a fee of R500 per rewrite will be applicable. ACHE instructors will do their best to help you with revision before the first rewrite. All course materials will be provided on the first day of each module. Please do not copy, reprint or share any course material. It is for personal use only. Full attendance of all classes, modules, healing clinics must be adhered to. All modules need to be completed. We reserve the right to cancel your enrollment at ay any given time, should payments not be made on time or if any violations to conduct are made. No refunds will be made. Students may cancel their enrollment with 1 calender month’s notice, in writing. Modules are help over 3 days every 2 months. Duration of the full course is 2 years. Some or all modules will require case studies, practical exams and or written exams. Admin fee of R5000 (five thousand rands) to be paid at enrollment for additional supplies required for practicals. Each module is R3600 (three thousand six hundred rands) to be paid in installments of R1800 (one thousand eight hundred rands) per month. Payments to be made by the 1st of each month. Banking details: Manjushri Healing, FNB, 63153160098, cheque account. Use your name as reference Proof of payment to be sent to admin@manjushrihealing.com Consent * Yes, I accept and agree to the above statement. We look forward to being on this journey with you. And cannot wait to meet you. Love, light and blessings. Submit
