Kanduboda Siyane International Insight Meditation Center

Full Name:

Profession:

Age:

Date of Birth:

Gender:

Nationality:

Permanent Address:

Contact No:

Email Address:

Passport No:

Date of Issue:

Date of expiry:

In case of emergency to notify

Name:

Address:

Contact:

If you have any health issues (Physically or psychologically) please mention.

Purpose of meditation

Flight details

Flight No:

Arrival date/time:

Departure date/time:

Expected duration of stay at the meditation centre – 7 to 14 days

From:

To:

(Period can be extended with the permission of the chief monk)

Entrance fee – $25 (USD)/= (Minimum)

Sinhala Application