One Day Application Form

Dhamma Vipula (1 Day Course) - 29th Jun, 2025

Have you completed a 10-day course with S.N. Goenka or any of his assistant teachers?

Yes

This course is only for students who have completed atleast one 10-day Vipassana course

Old Student Section

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By checking the box below, I acknowledge and agree that any and all information provided in this application for acceptance into a Vipassana Meditation course, or otherwise provided by me to the Vipassana organizations, may be used by the Vipassana organizations for their purposes consistent with their Privacy Policies, as amended from time to time.