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Given / First name in English

Given / First name in English / Roman script

Surname / Family / Last name in English

Surname / Family / Last name in English / Roman script

Email Address

Password

Password must be provided and be at least 10 characters, and must include an upper case letter, lower case letter, digit, and special character such as !"#$%&'()*+,-./:;?@[\]^`{|}~

Password Confirmation

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

Yes

Old Student Username

Old Student Password

Date of course (month and year)

Enter as yyyy/mm, for example 2009/12. If you do not know, please estimate.

Location of course

If you do not remember, please write 'unknown'

Teacher's name(s)

If you do not remember, please write 'unknown'

I do not remember the special old student username and password

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Vipassana

Meditation

Vipassana Meditation

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