Enrolment Form for level 2
Full name
(as required on the certificate)
Date of Birth :
Male / Female :
Introduced by  
Residential Address :
Phone/ Mobile Nos. :
E-mail Address :
Profession : Designation :
Name of Organisation :
Are you practicing Touch Reiki or the tools you learnt in Level 1?
if yes,
Write in Brief How Reiki 1
has benefited you?
Declaration Form

I am participating in this programme of my own free will and declare that I am physically
and mentally fit to participate in the workshop.

I am enclosing Cash
Place :
Date :