Reg Form 37: The Journey Dubai Just Be Nov 2019

Congratulations!

I am thrilled that you have decided to attend the The Journey Healing Program with Advanced Skills with Dr Rangana Rupavi Choudhuri (PhD) in Dubai:

31st October-2nd November 2019

To complete your booking, all you have to do is fill in the registration form and click confirm registration:

*mandatory field, please fill in.

First Name *
Last Name *

Preferred Name to address you

E-mail to contact you *

Phone Number to contact you *

Is this a What's App Number *

YesNo

Date Of Birth *

Gender *

Profession, for eg trainer, home maker *

To select multiple options, please hold down CTRL key on PC or command key on MAC

The reasons for attending the training? *

Tell us more about your reasons

How did you find out about training? *

If friend or other, specify who

Special Diet Needs, for eg Jain, Vegan *

YesNo

If Yes, write your specific requirements

Amount to be paid *

I agree to terms and conditions *

Yes I agree

Just Be Holistic Center

+971 43415751