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Youth Meditation Retreat
1st Youth Meditation Retreat for Singapore Buddhist Youths. Location in Pa-Auk Tawya Vipassanā Dhura Hermitage, Rempang, Batam, Indonesia.
Dates: 10 July-17 July
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Full Name (as in Passport)
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Date of Birth
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Gender
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Female
Other:
Passport No.
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Place of Issue of Passport
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Nationality
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Passport Expiry
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Contact Details, Email
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Contact Details, Mobile Phone
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Meditation Knowledge
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Please check if you have done/ experienced the following.
Know about Basic Buddhism (4 Noble Truths, 8 Fold Path, Morality, Meditation and Wisdom)
Attended a Basic Meditation Class. (At least know how to sit and breathe)
Attended at least one short weekend or one day meditation retreat.
Attended at least one week-long meditation retreat.
Attended continuous one month meditation retreat or longer.
None of the above, new to Buddhism and Meditation.
Required
Name of meditation teachers if previously had been to retreats/ meditation courses
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Health Conditions
Hypertension
Diabetes
Contagious Disease
Drug Addiction
Gastric pain
Homosexual/ Bisexual/ Attracted to same gender as you (no discrimination, just that in retreat we are supposed to not entertain lust and we are sleeping with the same genders)
Mental illness (please specify in others)
Other:
Any allergies?
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Emergency Contact details (Name)
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Emergency Contact details (Mobile No.)
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Emergency Contact details (Relationship)
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Is there anything else you want the organizers to know?
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Disclaimer
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I hereby declare the the above information is true and I agree to abide by the instructor's instruction and rules and regulations during the retreat. I also understand that the organizers will not be held responsible should anything happen to me during the retreat
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