AAPNA Board Certification Application Form

Thank you for your interest in AAPNA Board Certification of Registered Ayurvedic Professionals of Association of Ayurvedic Professionals of North America, Inc. USA. Please complete the form below to submit your details for review and approval. Once you are approved, we will send your digital and snail mail certificates.

Only Registered Ayurvedic Professionals Are Eligible for Board Certification

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Please attach a copy of your AAPNA Registration Certificate {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Please attach your clinical experience paper (150 - 200 words) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Board Certified Registered Ayurvedic Professionals: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{{ ['B.C.R.A.L.C. - Board Certified Registered Ayurvedic Lifestyle Consultant - $150.00','B.C.R.A.H.C. - Board Certified Registered Ayurvedic Health Counselor - $150.00','B.C.R.A.P. - Board Certified Registered Ayurvedic Practitioner - $150.00','B.C.R.A.D. - Board Certified Registered Ayurvedic Doctor - $150.00','B.C.R.D.A.M. - Board Certified Registered Doctor of Ayurvedic Medicine - $150.00','B.C.R.I.A.D. - Board Certified Registered Integrative Ayurvedic Doctor - $150.00','B.C.R.I.A.R. - Board Certified Registered Integrative Ayurvedic Researcher - $150.00','B.C.R.A.F.N.C. - Board Certified Registered Ayurvedic Food and Nutrition Consultant - $150.00','B.C.R.P.K.T. - Board Certified Registered Pancha Karma Therapist - $150.00'][$index] }}

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May AAPNA share your contact information with other ayurvedic resource groups? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Agreement of Understanding Regarding Board Certification: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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AAPNA Board Certification Application Form

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{binding Name} - {binding Description}	{binding displayValue}
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Only Registered Ayurvedic Professionals Are Eligible for Board Certification

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Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Website {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Referred by {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Please attach your passport size photo here (.jpeg, .gif or .png) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

Please attach a copy of your AAPNA Registration Certificate {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

Please attach your clinical experience paper (150 - 200 words) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

Board Certified Registered Ayurvedic Professionals: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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1. Reference Person {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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May AAPNA share your contact information with other ayurvedic resource groups? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Agreement of Understanding Regarding Board Certification: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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AAPNA Board Certification Application Form

{{ Cognito.resources['order-number-label'] }}: {binding displayValue}

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{binding Name} - {binding Description}	{binding displayValue}
{{ Cognito.resources['payment-subtotal'] + ":" }}	{binding displayValue}
{{ Cognito.resources['order-total-label'] }}: {binding displayValue}
{{ Cognito.resources['order-amount-paid'] }}:	({binding displayValue})
{{ Cognito.resources['order-balance-due-label'] }}:	{binding displayValue}

Only Registered Ayurvedic Professionals Are Eligible for Board Certification

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Website {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Please attach your passport size photo here (.jpeg, .gif or .png) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Please attach a copy of your AAPNA Registration Certificate {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

Please attach your clinical experience paper (150 - 200 words) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

Board Certified Registered Ayurvedic Professionals: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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3. Reference Person {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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May AAPNA share your contact information with other ayurvedic resource groups? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Agreement of Understanding Regarding Board Certification: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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AAPNA Board Certification Application Form

Only Registered Ayurvedic Professionals Are Eligible for Board Certification

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AAPNA Board Certification Application Form

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Only Registered Ayurvedic Professionals Are Eligible for Board Certification

AAPNA Board Certification Application Form

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Only Registered Ayurvedic Professionals Are Eligible for Board Certification