INCOVAR Dhamma Camp

Camp Information
Concept & Objectives
FAQ
Map
How To Register
Online Registration
Contact Us

Online Registration Form Is Now OPEN

Please ignore all the information on the link above. No time to edit.
- Venue: Wat Chetawan
- Camp info, concept, objectives refer to www.incovar.org
- Limited to 40 pax only!!!
- Closing date: 30th October 2009
- Map: no map. Tips: google is your best friend.
- Online Registration: Here lor.
- Camp fees is MYR100.00
- For all other matters, ask Bro. Mooi (mooicheeonn@gmail.com)

Any enqueries please feel free to contact any of the person below.

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  • Kindly fill in the form completely before you hit "Submit" button below. Fields marked in (*) are mandatory.
  • If you should need any assistance, please contact our camp committees either by phone call, sms or email. (Please replace AT with @ for emailing)

If you have a SOFTCOPY of your picture, please upload it in the pop-up windows. If a new window does not pop-up, you can access it here. For those who did not upload their picture here, please send a hardcopy of your picture together with payment.

Particulars:
IC Number or Passport Number for Non-Malaysian * Eg. 801223145435
Name: *
Gender:
Date of Birth: Day: , Month: , Year: *
University / Colleges: *

Others. Please specify:
Course: *
Year of Graduation: *
Position held in Dhamma Study Class/Buddhist Society :
Contact Info:
Email Address: *
Hand Phone: Eg. 012-1234567
Fixed-line Phone: Eg. 03-12345678
Current Address:

Address Line 1: *Eg. 15, Jalan 123,
Address Line 2: Eg. Taman 123,
City: * Eg. Kuala Lumpur
State: *
Postcode: *Eg. 56000
Country:
Permanent Address:
Address Line 1:
Address Line 2:
City:
State:
Postcode:
Country:

I wish to receive the camp programme and materials 2 weeks before the camp commences.
Please send it to my:


If my application is NOT successful, please send the refund to my:

Payment:
I will be sending payment by, (No: )
valued at RM 100.00 made payable to "LOH WAI MUN" being the camp fee.
*For electronic banking, please send sms notification of your full name to Bro. Eddy at 012.300.9968 or email eddy_munATyahoo.com immediately upon successful payment. (Public Bank Account No. 4540575411)
**OR please send your cheque payment by post shortly after you have submitted your registration. For OUTSTATION CHEQUE (ie, outside of Selangor), kindly include an additional RM0.50 in your cheque.
My preferred T-shirt Size is:

Medical History Allergies. Please specify:
Gastritis
Others. Please specify:
Incovar Survey:
1. I have been practising Buddhism for years.

2. I have attended INCOVAR camps times.

3. I have attended the following:
Dhamma Study Class
Dhamma/Buddhist Camp
Meditation Retreat/Classes
Dhamma/Buddhist Talk, Seminar or Conference.
Others. Please Specify:

4. I rate my understanding on Buddhism are:



5. What are your expectation of this camp?

6. How did you come to know about this Camp?

Undertaking / Exemption of Liability
I, as named above, being a participant attending the aforesaid Camp, hereby give my undertaking and pledge to participate in the said Camp with the spirit of brotherhood, fellowship and sportsmanship and hereby exempt the Organising Committees and Buddhist Gem Fellowship (BGF) from being liable for whatsoever loss or injury suffered or any form of calamity that may be encountered by me in the course of the said Camp.

In case of emergency, kindly contact:
Name: *
Relationship: *
Address: *
Contact Number: *




because @ INCOVAR
...we inspire...