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2018 - International Chinese Retreat with Meera Didi
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2018 - International Chinese Retreat with Meera Didi
Please select date and time
Date: Fri, 7th Sept (Check in 5pm) to Sun, 9th Sept 2018 (Check out 2pm)
Venue: Asia Retreat Centre, Malaysia
Country *
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Benin
Bhutan
Bolivia
Bonaire
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Botswana
Brazil
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Chile
China
Colombia
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Congo Democratic Republic
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Croatia
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Estonia
Ethiopia
Fiji
Finland
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Germany
Ghana
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Japan
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Kuwait
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Latvia
Lebanon
Lesotho
Liberia
Lithuania
Macedonia
Madagascar
Malawi
Malaysia
Mali
Malta
Martinique
Mauritius
Mexico
Moldova
Mongolia
Morocco
Mozambique
Myanmar
Namibia
Nepal
Netherlands
Netherlands Antilles
New Zealand
Nicaragua
Nigeria
Norway
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Reunion
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Vincent and the Grenadines
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
South Africa
Spain
Sri Lanka
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Trinidad and Tobago
Turkey
Turks and Caicos Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Venezuela
Vietnam
Zambia
Zimbabwe
Centre
First Name *
Last Name *
Sr/Br *
Br
Sr
Years in Gyan *
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Nationality *
Date of birth *
Email *
@
Mobile No *
Whatsapp No (if any)
Emergency Contact Person ( Name) *
Emergency contact number *
Lokik occupation (if any)
Special needs (health, diet, Mobility)
Translation required *
Yes
No
If yes, please specify Language
Mode of Transport ( Arrival& Departure ): Flight/Train/Bus/Car
Arr Mode
Bus
Car
Flight
Train
Arr Date
Arr Time
Arr Flight No
Place to pick up
KLIA 2
KLIA 1
Other (specify)
Other
Dep Date
Dep Time
Dep Mode
Bus
Car
Flight
Train
Dep Flight
Place to send off
Other (specify)
KLIA 1
KLIA 2
Other (specify)
Destination
Note: All information supplied on this form will remain confidential.