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  • Register for a Retreat

Registration Information

Personal Information

* For children without ID/CCCD, fill in Birth Certificate Number + Date of issue.

Example: Date of issue of birth certificate is 20/06/2015, fill in [Birth Number]20062015

* For foreigners without ID/CCCD, fill in Passport Number

Address

Relation Information

Dharma Hall Information

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Health profile

Diseases:

Disabilities:

Does anyone in your family have the following illnesses ?

The type of vaccine given:

Health check details:

Registration Information

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