Please include the following information so our team can reach you.
First Name (required)
Last Name (required)
Email (required)
Phone (required)
Is this a new listing submission, or an update request for an existing listing? (required) —Please choose an option—New listingUpdate to existing listing
Please note that your professional listing will include all of certification credentials with Kerala Ayurveda Academy. Check off multiple programs if they apply. Only check programs for which you have completed all program requirements with Kerala Ayurveda Academy and received your certificate.
Certification Level (required) HACAHCAPADPKT (250hr)
Graduation Year(s) (required)
Have you signed your Scope of Practice agreement for all certifications? (required) YesNoI don't know
The following information matches the listing fields for our public database. Please only include information you agree to have published, and exactly as you wish for it to appear in your listing. Note: this is a public listing on our website to all visitors. Customizations are not available.
Your Name (required - as you want it to appear)
Your Company/Practice Name (optional)
Please supply either a phone number, an email address, or both. One method of contact is required.
Phone (optional - if no, email required)
Email (optional - if no, phone required)
Please note that a street address is required as the database functions based on location. You have the option below to request that it not be displayed in your listing.
Street Address (required)
Would you like your street address location to be displayed in your listing? —Please choose an option—Yes - display itNo - do not display it
City (required)
State/Province (required)
Zip Code (required)
Country (required) —Please choose an option—AfghanistanAlbaniaAlgeriaAndorraAngolaAnguillaAntigua & BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia & HerzegovinaBotswanaBrazilBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChina - Hong Kong / MacauColombiaComorosCongoCongo, Democratic Republic of (DRC)Costa RicaCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceFrench GuianaGabonGambiaGeorgiaGermanyGhanaGreat BritainGreeceGrenadaGuadeloupeGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIsrael and the Occupied TerritoriesItalyIvory Coast (Cote d'Ivoire)JamaicaJapanJordanKazakhstanKenyaKorea, Democratic Republic of (North Korea)Korea, Republic of (South Korea)KosovoKuwaitKyrgyz Republic (Kyrgyzstan)LaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedonia, Republic ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMartiniqueMauritaniaMauritiusMayotteMexicoMoldova, Republic ofMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmar/BurmaNamibiaNepalNew ZealandNicaraguaNigerNigeriaNorwayOmanPacific IslandsPakistanPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovak Republic (Slovakia)SloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTajikistanTanzaniaThailandNetherlandsTimor LesteTogoTrinidad & TobagoTunisiaTurkeyTurkmenistanTurks & Caicos IslandsUgandaUkraineUnited Arab EmiratesUnited States of America (USA)UruguayUzbekistanVenezuelaVietnamVirgin Islands (UK)Virgin Islands (US)YemenZambiaZimbabwe
Website (optional)
Photo (required) Please upload a headshot or company logo image for your listing.
I affirm I am a graduate of the Kerala Ayurveda program(s) noted in this form. I affirm all personal data listed in the Listing Information is approved for publishing on the Kerala Ayurveda Academy website.
Verify you have completed all the required fields in order to submit.
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