One Day Application Form

Global Vipassana Pagoda (1 Day Course) - 1st Dec, 2022

Have you completed a 10-day course with S.N. Goenka or any of his assistant teachers?
This course is only for students who have completed atleast one 10-day Vipassana course
Old Student Section
Please choose what you are applying to do
Prefix your country code. For eg +91 for India.
Space, Comma, Dash(-) not allowed.
Prefix your country code. For eg +91 for India.
Space, Comma, Dash(-) not allowed.
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.