The British Institute of Homeopathy

To: The Registrar, Endeavour House, 80 High Street, Egham, Surrey, TW20 9HE

E-mail: info@britinsthom.com  OR Fax: +44 (0) 1784 473801 (Credit Card Payments)

 

 

Application for Enrolment

 

 

Title Dr. Mr. Mrs. Miss. Ms

First Name

Middle Initial

Last Name

Address

 

 

 

 

 

Country

Postcode

 

 

Telephone 

Fax               
Email

Occupation

Academic Qualification with dates  

 

I wish to enrol for the following Course(s)

 

COURSE NAME

No

x

1st

Installment

Full Fee

 

INTRODUCTORY COURSE IN HOMEOPATHY

101

 

 

 

GENERAL DIPLOMA IN HOMEOPATHY

102

 

 

 

HOMEOPATHY IN PRACTICE

103

 

 

 

CLINICAL INTERNSHIP

104

 

 

 

POSTGRADUATE COURSE IN HOMEOPATHY

105

 

 

 

BASIC COURSE IN HOMOEOPATHIC PHARMACY 

106

 

 

 

DIPLOMA IN HOMOEOPATHIC PHARMACY 

107

 

 

 

BASIC COURSE IN VETERINARY HOMEOPATHY 

108

 

 

 

DIPLOMA IN VETERINARY HOMEOPATHY 

109

 

 

 

DIPLOMA IN DENTAL HOMEOPATHY 

110

 

 

 

WOMEN'S HEALTH (MIDWIVES) 

111

 

 

 

DIPLOMA IN WOMEN'S HEALTH AND HOMEOPATHY 

112

 

 

 

DIPLOMA IN HERBOLOGY AND HERBAL MEDICINE 

201

 

 

 

NUTRITION AND HERBOLOGY 

202

 

 

 

BASIC NUTRITION COURSE 

301

 

 

 

DIPLOMA IN CLINICAL NUTRITION 

302

 

 

 

ANATOMY AND PHYSIOLOGY (Module I) 

401

 

 

 

PATHOLOGY & THE NATURE OF DISEASE (Module II) 

402

 

 

 

DIFFERENTIAL DIAGNOSIS 

403

 

 

 

BACH FLOWER PRACTITIONER COURSE 

501

 

 

 

BASIC AROMATHERAPY COURSE

601

 

 

 

DIPLOMA IN AROMATHERAPY 

602

 

 

 

 

I request course material in CD ROM  

If yes, deduct £25 from full course fee

I request e-mail contact with my  tutor  
I request a Booklist  

            

I enclose my cheque for a total of £ …………………. Payable to The British Institute of Homeopathy Ltd

 

OR : Please debit my credit card

 

Visa/MasterCard/Switch/American Express for the amount of £ ………………………..

 

Card No.  

Expiry Date Month ____  Year ____  Issue No. _____  Security Code. _____ 3 chars on back of card

 

Cardholders Name _____________________________  Signature _______________________________________

 

OR By standing order - contact the Chief Registrar. Click here for financial assistance.