Registration Form
Personal Details
Salutation
First Name *
Your answer
Last Name *
Your answer
Address
Address,email and phone number will not be publicized and shared with third parties Your details will be kept to the gathering committee and KIBAR for database purpose.
House Number/House Name *
Your answer
Street Name *
Your answer
Town/City *
Your answer
County
Your answer
Post Code *
Your answer
Mobile
Your answer
Home Phone/ Other Phone
Your answer
Email *
Your answer
Who will be participating
Fill in the complete name of the participants in this following format, Sex (Male/Female) and Age.
i.e.: Abdullah/Male/7 - The first name filled should be the main applicant's name
Family Member 1 (The main applicant's name) *
Your answer
Family member 2
Your answer
Family member 3
Your answer
Family Member 4
Your answer
Family Member 6
Your answer
Accomodation and Transportation
Need Accomodation? *
If you answered "Yes", how many persons?
Do you bring your own Transporation? *
How much are you paying for the registration? *
The registration fee is: £ 10 for one person, £ 20 for 2 persons, £ 25 pound for 3 persons or more (family)
Payment Method *
All payment should be paid to LLOYDS TSB BANK PLC, sort code: 77-20-26 Account Number : 55097060 Account Holder: Tri Pratiwi, Please send a confirmation email to tripratiwi(AT)gmail.com after you made your payment mentioning your name and amount paid
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