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APPLICATION FORM
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FOREIGNER |
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(* Required)
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KCI Membership
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Are you registered as member of Kadam Choeling Indonesia?* :
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YESName(MEMBERSHIP CODE) * |
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NO
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PERSONAL INFORMATION
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| Full Name*:
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CONTACT DETAIL
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Mailing Address*:
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| City* |
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Country* |
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Postal Code* |
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Phone:
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Mobile Phone*
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Email Address 1*:
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Email Address 2 (If any):
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OTHERS
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Occupation* :
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Job Title (If Any) :
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Company Name :
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Motivation* :
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RETREAT PACKAGES
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| We provide several packages adjusted to recent prices and facility provided for this retreat. Any fund surplus in this retreat will go to our next retreat.Please tick (√) the one most suits you. * |
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MINIMUM
Packages included : Transportation from Airport to Istana Bunga (Lembang),
Basic Needs during retreat, and Retreat’s kit.
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250 €
[340 USD]
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NORMAL
Packages included : Transportation from Airport to Istana Bunga (Lembang),
VIP Basic Needs during retreat, Donation to Sangha who want to participate
in the retreat, and Retreat’s kit.
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350 €
[470 USD]
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EXTRA
Packages included : Transportation from Airport to Istana Bunga (Lembang),
VIP Basic Needs during retreat, Donation for Rinpoche’s ticket, Donation to
Sangha who want to participate in the retreat, Recorded Teaching in CD,
and Retreat’s kit.
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425 €
[580 USD]
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JOURNEY
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| We will help your journey from and to Jakarta Soekarno Hatta International Airport - Istana Bunga (Lembang), Bandung. For your convenience, please complete the question below.
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Do you need pick up service from Jakarta Airport to Istana Bunga (Lembang)?
YES
NO
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Details
[Flight No, Time of arrival, etc] |
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Do you need transportation from Istana Bunga (Lembang) to Jakarta Airport?
YES
NO
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Date of Departure from Indonesia
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Details
[Flight No, Time of departure] |
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STATEMENT
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I, hereby agree to comply with the rules arranged by the committee and Rinpoche during the retreat and will attend the entire schedule completely from the beginning until the end of the retreat.* |
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| *Must be Filled in |
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ADDITIONAL INFORMATION
- Seats are limited. We only have 100 seats for foreigners.
- Please notice that we only receive the latest application until November 30, 2011.
- Kindly settle your payment within two weeks after registration. Our bank transfer is:
Bank International Indonesia (BII) Branch Martadinata
Account Number : 2-044-933273, Bank Code : 016
Swift Code : IBBKIDJA, Account Name : FONG KWANG
- Do confirm your payment by email and attach a copy of your bank transfer paper at: retret@kadamchoeling.or.id. For more information, please contact us at above email also.
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