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Application

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Personal Information

First Name

Last Name

Phone Number

Email

Address

Programs Information

Are you a certified fitness trainer? If yes please mention them

No yes

Are you a certified nutritionist? If yes please mention them

No yes

What you provide from the nutrition and workout online program?(multi-select question)

Instagram account

Brief

How many new clients subscribe with you each month?

How would you like to receive your payments ? (multi-select question)

E-wallet

Bank account