ENROLLMENT FORM

Dear One,

We treat this ‘Training Program’ as a profound reverence towards our Master Dr. Hahnemann and responsibility towards Homoeopathy in general and we expect of you to be responsible as well.

Aim:

Our aim in starting THE QUANTUM LEAP training program is to train doctors and interns in a comprehensive manner in the field of ‘Classical Homoeopathy’.

Training Program:

The program is very intense and is spread over a period of 3 months and total commitment would be the most essential and basic quality required. It is open only for ‘Doctors’ and ‘Interns’.

Charges:

The charges for this ‘Training Program’ are Rs. 45,000/- (Rupees Forty five thousand only.) These charges are non-refundable and non-transferable. These charges DO NOT include meals and accommodation.

The payment should be made by ‘Demand Draft’ ONLY, drawn in favor of Dr. Falguni K. Khariwala. Once you have enrolled you need to be committed in order to benefit most from the program.

Contents of the training program:

            At a time in the ‘Training Program’ there will be 8 participants. We will be giving you video, audio, paper and live-cases and through them we will be sharing with you our understanding of how to reach to a remedy. We will be sharing with the participants the in-depth understanding of aphorisms 84th, 153rd, 6th, 9th, 247th, 171st, 248th, 210th to 230th (mental diseases), 272nd to 279th (dose, repetition and deviation of dose) and all this illustrated through very educative cases. Through these we will be sharing with you our understanding of Case receiving, What is a symptom, unprejudiced observer, How to repeat the remedy, Remedy relationship, and the most important, how to manage your follow-ups i.e. Remedy reaction.

Your commitment:

            You will be a part of a group and as a member of a group your commitment and responsibility towards the group is essential.

This ‘Centre’ is our temple where Dr. Hahnemann is revered and homoeopathy is worshipped. Please see to it that this spirit prevails through out the duration of the course. On our side we are making available to you the access to our vast ‘library of books’ and to our ‘equipment’ in that you will have hands on knowledge in using computers in daily practice as well as in using homoeopathic soft-ware ‘CARA’ and we hope you will handle things with care. We trust you and hope you will reciprocate.

 

Fill this form and mail it to address for correspondence to enroll for training program.

 

Name   :_________________________ Tel. No. :__________
Age      :_________________________ Fax      :_________
Address :_________________________ E-mail   :__________
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Please state your reason for joining this ‘Training Program’?

 

 

 

 

 

I have read the enrolment form thoroughly and I agree to be committed.

Kindly enroll me for the ‘THE QUANTUM LEAP Training Program’ in ‘Classical Homoeopathy’.

 

Yours sincerely,

 

 

(Signature) 

Date: