House of Dhamma

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Application questions

Answer the questions here to an email and send those answersto dhamma.art@gmail.com at least 5 days before the starting date of the course you would like to attend.

Please include a return email address so that you can get information about making a deposit and payment details.
You will receive confirmation of your place, when the deposit is received.

Name of course

 

Date of course

 

Mr/Mrs/Miss/Ms. + Name

 

Surname/Family name

 

Address in Thailand

 

Permanent address (if different)

 

 

Mobile phone

 

Tel

 

Email

 

Age

 

For meditation courses, lease give details of any previous meditation experience









Occupation

 

Nationality