Registration for Nirankari South East Asian Samagam (30th & 31st March 2024)
The Peace Within
Main Contact
For the purpose of convention related correspondence. Main contact must provide email address and phone number and should be at least 17 years old.
Name
*
Mr.
Mrs.
Miss
Dr.
Other
Prefix
First Name
Middle Name
Surname
Email
*
example@example.com
Age Range
*
Please Select
17 - 25
26 - 39
40 - 59
60 -79
80 or over
Phone Number (WhatsApp)
*
Country of Residence
*
Please Select
China
Hong Kong
India
Indonesia
Japan
Malaysia
Philippines
Singapore
Thailand
Vietnam
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Central African Republic
Chad
Chile
Colombia
Comoros
Congo
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor (Timor-Leste)
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
Iran
Iraq
Ireland
Israel
Italy
Ivory Coast
Jamaica
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
North Macedonia (formerly Macedonia)
Madagascar
Malawi
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar (Burma)
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Yemen
Zambia
Zimbabwe
Others
Please enter country name
*
City Name
*
Hotel Name
Please Select
Sunway Velocity Hotel
Hotel Mezzo
V Garden Hotel
D’ Garden Boutique Hotel
Swing & Pillows/City Edge Hotel
Hotel Maluri
Others
Note: Accommodation and Transportation to be self-arranged.
Hotel Name - If Any Other
Check-in
-
Day
-
Month
Year
Check-out
-
Day
-
Month
Year
Which of the following languages do you understand
*
English
Malay
Tamil
Mandarin
Hindi
Punjabi
Other
Which of the following sessions would you like to attend
*
Day 1 (30th March, Saturday)
Day 2 (31st March, Sunday)
How did you find out this event
*
Regular attendee / member of Sant Nirankari Mission
Personal invitation from friends / family members
Adverts / Marketing
Newspaper / Magazine advert
Social Media (Instagram, Facebook, Linkedin)
Celebration Procession
Other
Host Name
*
First Name
Last Name
Host Phone Number (WhatsApp)
Would you like to Register additional members with you, who are attending the event
Yes
No
Please provide below details for each additional member (Please click on +Add Member button to add more members as required.)
*
Any special requirements
Please mention any special requirements such as access to facilities, arrangements to cater for limited mobility, access to childcare areas etc.
Malaysia Personal Data Protection Act. 2010 (“PDPA”) – How information about you will be used.
The personal information you provided for yourself and other group members will be collated and used by the Sant Nirankari Mandal to monitor this event and to provide you with further updates if you have requested it above.
Register
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