Navigating A Spiritual Dry Spell...
...in the face of sickness with Rev. Fr. Larry Tan, SJ

30 May (Sat) 2PM-4PM

Church of the Immaculate Conception, Pulau Tikus, Penang

ALL ARE WELCOME. FREE ADMISSION.

Registration closing date: 23 May 2026 (Sat)
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Preferred Name* in Attendance List *
*Please provide at least two (2) words, not just a single-word name. Otherwise, you may list your name according to your valid MyKad or passport.
*Please do not use CAPITAL BLOCKS throughout. 
*Only the first letter of each word needs to be in upper case.
Gender *
Age Group *
WhatsApp Contact Number (*for non-Malaysian number, please indicate country and city code) *
eg. +61(4)-1234 5678  or +65-123 4567  (Malaysian number eg.  011-1234 5678  or  012-123 4567)
  • one (1) dash - after 01x and one (1) space before the last 4 digits
Name of Your Parish  *
Please indicate your parish name in full, not in abbreviation (not CHS, NBVM etc.)  
E.g. Cathedral of the Holy Spirit / Church of St Joseph / Chapel of St Jude
*Please do not use CAPITAL BLOCKS throughout. 
*Only the first letter of each word needs to be in upper case.
Location (State - City) of Your Parish *
eg.  Penang - Island Park / Perak - Gopeng (not Pg BM / Kdh SP etc.)  
* Please state the country first if you are not in Malaysia, otherwise just the state and city.
*Please do not use CAPITAL BLOCKS throughout. 
*Only the first letter of each word needs to be in upper case.
Remarks (if any, e.g. special attention on mobility, medication etc.)
Data Privacy
All personal information collected from this online registration form is solely for the purpose of facilitating Penang Diocesan New Evangelization Commission (PDNEC) programs for those who wish to be part of the program(s). All personal information will not be shared outside of PDNEC.
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