MAHASI COMMEMORATIVE GATHERING REGISTRATION

First International

MAHASI COMMEMORATIVE GATHERING, Yangon, Myanmar

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Date: February 7, 2016 from 1:00 to 5:00 pm

Place: Mahasi Sasana Yeiktha Meditation Centre Yangon.

The Special Gathering commemorates the life and works of the late Venerable Mahasi Sayadaw and the history of the Mahasi teachings in Myanmar and throughout the world.

MAHASI COMMEMORATIVE GATHERING ATTENDANCE APPLICATION

Spaces are limited for the Commemorative event. If you are interested in attending, please provide the following information. The finalized guest list will not be available until December 15, 2015.

Please mark the retreat you are planning to attend.Retreat 1: Jan. 3-17, 2016 (open to all foreign yogis) (limited to 25)Retreat 2: Jan. 24 – Feb. 7, 2016 (for teachers of meditation) (limited to 25)Not attending a retreat

How many people in your party will be applying to attend:
Note: each person must fill out a separate application .

Full Name as Appears on Your Passport (First, Middle, Last)

Sex? MaleFemale

Address

City

State/Provence/Territory

Country

Preferred Contact:

Telephone

Facebook

Skype contact

Best days and times to reach you:

Birth Date (yyyy-mm-dd)

Passport Number

Country on Passport

Date of expiration (yyyy-mm-dd)

Occupation

If you are a journalist or a member of the media, please provide your affiliation.

Emergency Contact Name, Relationship to You

Contact Address (City, State, ZIP & Country)

Emergency Contact Phone & Email

When do you plan to arrive to Myanmar and where will you stay during your time in Yangon?

What is your interest in wanting to attend the Mahasi Commemorative Gathering?

Have you either resided or previously visited Mahasi Sasana Yeitkha, and if so please provide dates.

I hereby certify that all of the information contained in this application is complete and accurate to the best of my knowledge. I understand that, if accepted, omissions or false statements on this application shall be considered sufficient cause for dismissal. I will not hold the Buddha Sasana Foundation or Mahasi Sasana Yeiktha Meditation Centre responsible for any liability during my travel or stay for the Commemorative Gathering.