KIBI Short Course 2018
November 12th - December 8th, 2018
At Karmapa International Buddhist Institute
Email address *
Full name *
Your answer
Residence *
Your answer
Phone no. - Please include country and area codes in the following format: +61 (604) 640 4060 *
Your answer
Gender *
Date of birth *
MM
/
DD
/
YYYY
Citizenship *
Your answer
Passport number *
Your answer
Country and place of issued passport *
Your answer
Country and place of issued Indian visa *
Your answer
Degree - Highest completed level of education and training (e.g. 10+2, High school, B.A., M.A., etc.) *
Your answer
Programme currently enrolled in - if applicable
Your answer
Have you attended any KIBI course(s) in the past? *
Have you studied Buddhism at a different Institute or University Programme before? *
If you answered 'yes' to either of the above questions, which courses have you attended or completed?
Your answer
Which type of accommodation would you like to reserve? - We will try to fulfill your request but changes may occur if required. *
Statement of purpose - Please describe which classes and subjects you would like to attend, as well as your (academic) interests and reasons for applying to the programme (150-200 words). *
Your answer
Do you suffer from any pre-existing medical condition? *
If yes, please specify: *
Your answer
Do you take any regular medication? *
If yes, please specify:
Your answer
Please note: Registration of a person with serious ongoing and/or contagious diseases will not be accepted without a doctors' assurance letter for the travel.
Emergency contact - Name of the person and their relationship to you: *
Your answer
Emergency phone no. - of above mentioned person: *
Your answer
Will you attend the whole course? *
If above answer is 'no', how long would you like to attend the course? - Please enter the dates.
Your answer
Arrival and departure dates - If not fixed yet, please enter your expected travel dates. *
Your answer
Please note: Accommodation at KIBI will only be available from November 11th onward! If you arrive earlier than that, you will need to arrange a room at another place.
If you need help with finding a place to stay, please contact us at info@kibi-edu.org.
English language proficiency *
Required
Terms and conditions *
Required
Registration requirements and procedure
1. In order to finalize your registration, attach a good quality scan/photo of your passport ID page (size: 5.10 MB) and send it to: info@kibi-edu.org.
2. For legal reasons, KIBI has to provide a C-Form to the Indian government for each person visiting KIBI. Further details will be sent via e-mail.
3. Course payment has to be made at KIBI office within the first week. A non-recurring registration fee of INR 500 has to be added.
All the statements I gave in this form are true and valid. - Date, place and signature of applicant:
Your answer
Please check all details before submitting. Once submitted, further editing is not possible!
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Karmapa International Buddhist Institute. Report Abuse - Terms of Service - Additional Terms