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Anil Thomas Fellowship

International Certification Course In

Masters NLP (Neuro-Linguistic Programming)

Co-developed by Judith DeLozier & Facilitated by Anil Thomas

Please fill in the details below as mentioned in order to proceed towards the course.

Personal Details

First name

Last name

We hereby declare that the accuracy of the name on the certificate lies with the recipient, and it should be provided to the best of their knowledge. We shall not be held liable for any inaccuracies.

Email

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Contact Details

Permanent Address

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Professional Details

Educational Qualification

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Name of your Company

Explain in one line what do you do in your organization:

Are you a counsellor, coach or trainer ?

If yes, please specify exact nature of work

If no, do you aspire to become a trainer, coach or counsellor ?

If yes, please specify what do you aspire to become

Course Details

Which mode would you prefer attending the course? *

Live - Online Learning

Face to Face - Offline Learning

Training Center Address: Vinayalaya Retreat House, Mahakali Caves Rd, Andheri East, Mumbai 400093

Please Note: Once you select your mode of attendance, your choice is final. You will not be permitted to change your mode of attendance midway through the course or at any point after you fill this form.

If you are unsure about whether you would like to attend online or offline, please do not proceed with the form until you are certain of your preferred mode of attendance.

Who referred you

Information & Consent:

Please carefully read all the information mentioned below and tick them to acknowledge and agree the you have read, understood and accept the information mentioned. In all instances referring to the ‘organization’, it pertains to The Anil Thomas Fellowship (a brand owned by McHugh Global Learning Systems Pvt Ltd.)

The organization does not accept any responsibility or liability for any loss or damage, whether direct or indirect, that may arise from the use of our products or services.

The organization shall fully indemnify, hold harmless and defend all its employees, practitioners and affiliates from and against all cost and expenses, actions, suits, losses, settlements, involving a claim from the opposite party regarding a mishap happening during the entireity of the course duration, if any.

The organizations sessions is completely voluntary and undertaken at your own risk, as the organization is not liable to pay or indemnify any third party, and the activities are solely based on personal will. While our courses are designed as a learning experience, they are not intended as a substitute for therapy. We strongly advise that you seek the guidance of a therapist if you face any challenges that you would like to overcome.

You acknowledge that all Information is strictly confidential and agree that you shall not reveal to any person or entity, or use any information at any time.

100% attendance is compulsory on all days (either physically or virtually with camera on). Failure to attend even one session will result in disqualification from the course.

Participants are responsible for their own health and safety regarding food allergies or intolerances, and should take necessary precautions, as the organization cannot be held liable for any adverse health effects resulting from the consumption of food served.

The organization recognizes that certain language and topics may be uncomfortable for some participants. Please use your discretion before participating.

By participating in the course, you acknowledge and accept that the organization can use all media content for promotional or educational purposes.

For International Courier, courier handling & cost will be borne by the participant. Participants have to make the necessary arrangements with a reputable shipping company or carrier of their choice and collect the courier from our office in Mumbai.

I abide by the cancellation and refund policy mentioned on the website

I hereby acknowledge that I have read and accepted all of the terms and conditions set forth by the organization.

Thank you, we have received your details!

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Anil Thomas Fellowship

joelcferns@anilthomas.co

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