Confirmation Form for Indian Citizens

Please note: All questions are required to be completed


Please specify the course you have registered for:
(If you have registered for more than one course, please select only the first one).


PERSONAL INFORMATION

Name (as in ID card):

Email address:

Confirm email address: (please check carefully!)

Gender:

Date of Birth:

Place of Birth:

District:

State:


PRESENT RESIDENTIAL ADDRESS

Address:

District:

State:

City:

Pincode (Zipcode / Postcode)

 

Profession:


Have you made your travel arrangements already?

Mode of Transport to Centre (multiple choices possible)

TrainBusPlaneTaxi / Private Car

Have you read all the information on our website about this course?

Have you read the information on our website about adjusting to the retreat environment?

Have you read the information on our website about the rules of discipline?

By submitting this form you will be confirmed for the course. In case your plans change and you cannot come to the course do you understand to cancel your registration ASAP?


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