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Educational Qualifications Form
Clinic Details:
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Educational Qualifications:
Membership Fees
| Application: |
$40.00 (Non Refundable) |
| Annual Professional Membership: |
$200.00 |
| AAA Documents: |
$40.00 |
| Total: |
$280.00 |
Please make cheque/money order, EFT payable to the Australasian Association of Ayurveda Inc.
For EFT:
Bank Details: Bank of South Australia, BSB: 105 008, Account No: 065009540
References: Please supply two references with contact details:
*This field is mandatory
Payment Method:
Terms & Conditions:
*This field is mandatory
I , hereby apply for Professional Membership with the Australasian Association of Ayurveda Inc, (A.A.A.), and declare that all the information
and documents provided with this application are current and correct. I declare that I have no prior criminal conviction in Australia or overseas.
I have not been refused, disciplined or rejected by any other Professional organization.
(If yes, please give reason/s and brief description for AAA to make further enquiries, you may use a separate piece of paper).
I am aware that giving wrong or willfully incorrect information will result in cancellation of my membership,
and may be prosecuted. I also undertake to abide with the terms and conditions of the Professional Code of
Conduct and Ethics of the AAA.
