Sati Pirivena Online Registration

Fields marked with an asterisk (*) are mandatory

Pirivena Information

Name:*

Address:*

City:*

Province:*

Postal Code:

Medium of Instruction:*

Number of Participant Monks/Students:*

Does the pirivena have a public address system to be used for this program:* Yes:No:

Does the pirivena have a computer & a projector to be used for this program:* Yes:No:

Details of Head of Pirivena

Name:*

Phone No:

Email:

Please name the teacher/s recommended for coordinating this program in the pirivena

(1) Name:*

Phone No:*

Email:*

(2) Name:

Phone No:

Email:

(3) Name:

Phone No:

Email: