Certification Mark procedure Personnal information e-mail address Family name Name Certificat level Obtained on (date) Delivered by (association, Guruji, Prashant, Geeta) Professional activity(ies) Postal address Town Zip code Country Telephone Is yoga teaching your main activity ? YesNo TrainingPlease fill in the following fields, specifying whether they are conventions, internships or continuing education. Mention also the teacher’s name and the place (in the "Description" section).Please note that a minimum of 25 hours of convention / training OR a minimum of 70 hours of continuing education. For continuing education, please attach your teacher's certificate. Also note that the teacher must have at least 2 levels higher than yours. Year 2016-2017 Date / Period Description Number of hours Teached coursesI teach Iyengar Yoga and do not mix my Iyengar Yoga teaching with other yoga styles. YesNo Regular courses Type of course Number of course per week Number of weeks per year Duration of courses (in minutes) Iyengar Centre/ place General courses Yoga for pregnant women Therapeutic yoga Private courses Other Classic renewal or renewal after prolonged brake?The demand is ---classic renewalrenewal after prolonged brake. Remarks and verification Remarks: Upload your documents hereunder (PDF / pictures JPG, JPEG or PNG) I confirm that all the information given corresponds to reality. I agree that the association carries out checks on this information, on an ad hoc basis or more thoroughly if necessary.