PVH Form

PVH Basic Healing Workshop @ KLANG
Participant Registration Form
PVH Basic Healing Workshop @ KLANG
Date: 20 November 2021 (SATURDAY)
Time : 9.00 AM TO 5.30 PM
Venue : No. 19A, Lorong Pending 4B,Bandar Puteri, 41200 KLANG
Teacher: Dr. K. Subramaniam
WITH DISTANCE HEALING BY: MR. SIVA.P
During the event, please observe all SOPs and guidelines:
1. Participant MUST be fully vaccinated (At the time of entry, proof of vaccination is necessary)
2. All participants need to register online, STRICTLY NO walk-in allowed.
3. Wear your mask at all time
4. Please bring your own water bottle.
For further info please: SMS / WHATSAPP
+6013 308 7200 ; +6016 305 4588
Each participant must register individually, Do Not register same name, duplicate name will be erased.
Are you Fully Vaccinated*
YES: Proceed with RegistrationNO: Sorry, You cannot register for this event
Name:*
First NameLast Name
IC No: / K.P No:*
Full IC No / No K/P
Age:*
AGE / UMUR
Phone Number
Area CodePhone Number
Address*
Address
Street Address Line 2
CityState
Zip Code
Should be Empty:

PVH Basic Healing Workshop @ KLANG