Experience Mohanji Centre of Benevolence Apply For MCB Australia Program Fields marked with an * are required Participant Full Name * Participant Date of Birth * Participant Gender * Male Female Prefer not to say Number of Children Participants Details Participants Contact Details Participant Email * Participant Phone * Participant Address * HTML Participant City * Participant Post Code * Participant State * Participant Country * - Select Country - Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua And Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegowina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Canada Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, The Democratic Republic Of The Cook Islands Costa Rica Cote D'Ivoire Croatia Cuba Curacao Cyprus Czechia Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador England Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France France, Metropolitan French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard And Mc Donald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran (Islamic Republic Of) Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic Of Korea, Republic Of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States Of Moldova, Republic Of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Macedonia Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Republic of Kosovo Reunion Romania Russian Federation Rwanda Saint Martin Saint Barthelemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts And Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent And The Grenadines Samoa San Marino Sao Tome And Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and South Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard And Jan Mayen Islands Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, United Republic Of Thailand Timor-Leste Timor-Leste (East Timor) Togo Tokelau Tonga Trinidad And Tobago Tunisia Turkey Turkmenistan Turks And Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands (British) Virgin Islands (U.S.) Wallis And Futuna Western Sahara Yemen Zambia Zimbabwe Check - in * 20-03-2023 21-03-2023 22-03-2023 23-03-2023 24-03-2023 25-03-2023 26-03-2023 27-03-2023 28-03-2023 29-03-2023 Check - out * 21-03-2023 22-03-2023 23-03-2023 24-03-2023 25-03-2023 26-03-2023 27-03-2023 28-03-2023 29-03-2023 30-03-2023 No. of Occupancy Days No. of Occupancy Days : 1 Total: AUD 250.00 Days 1 Terms and Conditions Terms and Conditions Please read and accept the terms and conditions listed below * Please read and accept the terms and conditions listed below * I hereby confirm that I personally have filled all the information correctly and consciously, and I am carrying full responsibility for attending this retreat. * I hereby agree that Mohanji, Mohanji foundation Australia, any of the people or venues associated with Mohanji shall not be responsible for any of the possible consequences related to the attendance to the online program. I hereby agree Mohanji, Mohanji International Sarl, including all organizers and assistants associated with Mohanji International Sarl will not be held responsible for any loss or damage whatsoever and I waive all rights to compensation in case of injury or loss. * I understand that contributions are not refundable and registrations are non-transferable. I understand that any last minute cancellation or any cancellation once the online program starts is not refundable. Likewise, any changes in the schedule of the online program by the Mohanji foundation Australia will be notified in advance. In case of cancellation of the online program due to any causes which are beyond the reasonable control, including natural disasters like, floods, fire, tempest, or conditions caused by men, like war, revolutions etc; the fee associated with the online program will not be refundable. * I welcome supporting Mohanji Foundation and its associates by enabling them to use my images, if necessary, and video footage in its publications and media placements. If you are a human seeing this field, please leave it empty.
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