Professional Documents
Culture Documents
MEDICINES
(Affiliated to)
NATIONAL BOARD OF ALTERNATIVE MEDICINES
60, Mela Chetty Street, Kuttalam - 609 801, Tamilnadu, India,
Ph. 04364 - 329541, Cell : 9788181382,
e-mail : oiuam2003@ointunialtmed.net /nbam2003@nbaltmed.org
www.ointunialtmed.net / www.nbaltmed.org
APPLICATION FORM
( For Accreditation Cum Affiliation )
Note : Institution or Organization Who are interested to get Association / Accreditation with this
organization, they may can apply on the Performa mentioned below:-
Enter the following fields Clearly and Carefully :-
1 Name of Organization /
Institution
2
Address
Photo
Pin code :
Mobile No :
e-mail ID :
Website :
8 Detail of Regn. of the Society Copy of Registration should be enclosed
9 Detail of Staffs Separate copy should be enclosed
10 Detail of Infrastructure Available Separate copy should be enclosed
11 Detail and Date of Proposal
passed by G.B of the society Copy of GB should be enclosed
I have read and agree the Declaration of the Open International University for
Alternative Medicines given in reverse side of this Application
Station :
Established as per 1962 World Health Organisation Alma Ata Declaration and accorded
international organization to make Alternative Medicines popular and based on the record of
deeds dated September 1962 located at the Public Registry of deeds of the Kazhakhistan
Socialist Soviet Republic No. 115620- 6 30.
Incorporated under the authority of Medicina Alternativa, Alma Ata 1962. Affiliated by
the the Open International University for Complementary Medicines (OIUCM), Colombo,
Srilanka, vide their letter No. MA/12/03 Dated : 24th Dec 2003.
1) Open International University for Alternative Medicines has established on the foundation
stone of spiritualism, Indian culture and development for welfare of all class of people without
discriminating on behalf of cast, color and creed and with a feeling of brotherhood in
human being.
2) HEALTH and EDUCATION FOR ALL by 2000 A.D is a basic aims of Open International
University for Alternative Medicines.
I declares again that all information mentioned above that to be convey to the Student who
have willing to get Admission in courses of Open International University for
Alternative Medicines and in failure of this, only I will responsible for all
consequences on behalf of my Institution.
Station :
Annexure :
1. Copy of the Registration of Institution 2. Copy of the Proposal passed by G.B