NTU Buddhist Society Dharma Camp 2014 Registration Form

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Realize where the Real Lies

Theme: Three Universal Characteristics
Date: 8th - 11th January 2014
Venue: Beeh Low See Temple
Camp Fee: $10 (inclusive of camp T-shirt, meals, transportation and accommodation)

Registration Deadline: 31st December 2013

Full Name *

Matriculation Number *

Gender *

Course/Year *

e.g. BUS/1

Contact Number *

Email *

Nationality *

Religion *

Buddhism

Other:

Organization *

NTU Buddhist Society

Other:

Illness/Allergy *

"Yes" or "No"; If "Yes", please specify (e.g. food allergy, skin allergy, asthma)

Name of Family/Relative *

(contactable during camp period)

Family/Relative Contact Number *

Relationship *

Camp T-shirt size *

Buddhism Knowledge *

Zero

Basic

Intermediate

Advanced

Other:

Payment Date *

Please contact Herdiyenti Howard (93909968) if you are reaching the venue. For registration later than 6th December 2013, please email hhoward001@e.ntu.edu.sg or text 93909968

6th December 2013 at SAC (9am-5pm)

Other:

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