Last name (Family name)*:
Date Of Birth*:
Are you interesting to study acupuncture, qi gong or herbal medicine?
Please shortly describe your experience in acupuncture/qi gong/ herbal medicine (maximum 200 words):
What do you hope to experience and realize during this course? (maximum 200 words):
Anything else (fun) that you would like to add in this application (max 200 words):
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