Please note that information sent over the Internet is, in general, not totally secure and is potentially subject to interception by others during transmission. If you
are concerned about the possibility of security risks of your
information while it is on the Internet, press the 'printable version' button below, print the form,
fill it in, and submit it by fax or surface mail to the address below.
The information you provide on this form will be treated confidentially unless disclosure is required by law.
Some of the information will be processed on computer.
By completing this form, you give your consent to the storage
and use of this information by the Vipassana course organisers as described
in the Privacy Policy applicable where the course for which you are
applying is being held, a copy of which may be obtained from the
course registrar or at the course site upon your arrival.
Please press the 'Next' button to get to the online application form.
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