The General Editor,
Ancient Science of Life,
International Institute of Ayurveda,
PB No. 7102,
Ramanathapuram P.O.,
Coimbatore - 641045,
Tamil Nadu, India

Dear Sir,

Kindly accept my subscription to the Research Journal ANCIENT SCIENCE OF LIFE with effect from

............................................. to ........................................ as specified in the table below.

I/We enclose herewith DD/MO in favor of "INTERNATIONAL INSTITUTE OF AYURVEDA, COIMBATORE - 45"

for Rs./USD .............(in figures) .......................................................................................................................... (in

words) towards subscriptioncharges for .......... year(s)/ Life.Kindly mail the journal to the address given below.

Address:

Date:
Place: SIGNATURE OF SUBSCRIBER

Note: Click on the print icon to print and fill up form.