The Australian Institute of Tibetan Healing Practices, Benefitting and Bringing Happiness to All

LEVEL 4, 12 THOMAS STREET CHATSWOOD NSW • 02 9557 6814 • 0422 032 391 • noproblems@iprimus.com.au

Overcoming Problems poster

APPLICATION FORM FOR THE PROGRAM

All programs on Overcoming Problems are run on a donational basis, as His Holiness the Dalai Lama requested of us in 1992 when the Institute was founded by His Eminence Khejok Tulku Rinpoche.

Program One generally starts in October and runs for 1.5 hours, with an optional 30-minute meditation afterwards. The program runs for 12 months. Retreats are part of the program.

New participants to Program One will be accepted for the first few weeks after Program One begins. After this it is too difficult for most people to catch up.

Please either fill out the form here and press ‘Submit application’ below it or download a and send it to Level 4, 12 Thomas Street, Chatswood 2067.

If you feel like you're not good enough
to do the course, please apply.

All fields must be completed for this form to be submitted. If not applicable, please type NA.

Your information
NAME
Land line number
Mobile number
Email address
Suburb
Occupation
Are you currently studying? If so, what are you studying?
How did you find out about the program? Please tick:
Friend
Internet (eg, which Web site, banner ad)

Newspaper (eg, Nova, Sydney Morning Herald)
Brochure (eg, Cafe in Bondi, Manly Market, etc)
Other (Please indicate)
Why did you decide to apply for the Program?
Do you have any illness or injury that restricts your mobility doing exercises and meditating? Yes  No
If you answered yes, please specify (optional)

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