|
AAPRA
American Association of Practitioners and
Researchers of Ayurveda
13505 Cleveland Dr, Rockville, MD 2085
301 762
8262, Mishra13505@yahoo.com
Lakshmi C. Mishra, M.Pharm.,
PhD., BIMS; President
Betsy Lynn Boss Singh,
Ph.D. V. ; President
“Develop, promote and protect
the Ayurvedic Medicine of India (AMI) in the US”
AAPRA MEMBERSHIP
REGISTRATION FORM
(Please fill out
the form and e-mail mail it)
Name:
Home Address:
Tel. Fax e-mail:
Name and address of the Ayurvedic College
Tel. e-mail
Degree and the year of graduation:
Post graduate Education
Experience:
Professional Affiliations to Ayurvedic organizations:
Current Professional activities:
1.
Ayurvedic practice:
2.
Teaching:
3.
Research, significant contribution:
4. List of publications:
5.
Immigration status:
Signature and
date
|