PERSONAL INFORMATION *
Last name*
First name*
Middle name
Title*
Gender*
Male Female
Date of birth* :
Choose-Year- 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990
Choose-month- Jan. Feb. Mar. Apr. May Jun. Jul. Aug. Sep. Oct. Nov. Dec.
Choose-day- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
IARF Chapter membership
choose Bangladesh Canada Germany India Ireland Japan Nepal Netherlands Pakistan Philippines Sri Lanka Thailand United Kingdom USA Other
If Other, please give your member group’s name
Language*
Which languages do you speak?
English Hindi Japanese Other
Religion / Denomination*
ADDRESS *
Street, House name, Number*
City*
State or Prefecture*
Country*
Postal code*
Phone*
*including country code
Mobile Phone
Fax
*including country code
E-mail*
EMERGENCY CONTACT *
Name of emergency contact*
Phone no. of emergency contact*
GROUP APPLICATION INFORMATION
* If attending with a group of more than 10.
Name of group leader
Contact information( Phone / Fax / E-mail )
Names of group members
VISA APPLICATION
All nationalities require an Indian visa. Please read Indian
Visa Requirements ,
and tick if you
require a supporting letter from IARF.
Supporting letter required
AT CONGRESS*
ARRIVAL and DEPARTURE *
Please advise your arrival and departure dates.
*If you are attending the IALRW / RYFN meetings, please choose the date and “IALRW” or ”RYFN”.
Arrival:
IALRW RFYN Sep 3rd 4th 5th 6th 7th
Departure:
4th 5th 6th 7th 8th
ACCOMMODATION It is possible to stay at the Congress venue (the Catholic Renewal Centre) from September 3rd to 7th .
(For RFYN participants, from August 31st to September 7th ). Most rooms are for 2-4 people, so you are encouraged to share. If you wish to stay there,
please tick the box and choose the date.
I wish to stay at the Catholic Renewal Centre
Check-in date
Check-out date
Give the name of person / people with whom you would like to share a room (if known)
If you wish to stay at a hotel, please see the Recommended Hotels List and make your own reservations.
MEALS AT THE CONGRESS VENUE
Please indicate your preference. Vegetarian Non-vegetarian
TRANSFERS TO / FROM KOCHI INTERNATIONAL
All arrivals will be met by our Host Committee. They will contact you a month before the event to request your itinerary details. You should expect a taxi fare of US$12 –15.
PRE-and POST-CONGRESS TOURS
The registration fee does not include pre- or post-Congress tours, but you may register at the email addresses given here for IARF-organised options for post -Congress tours with local Kochi operators, and / or a pre -Congress tour of South India which is currently in planning by Richard Kellaway. Please indicate here whether you would like to join either or both these, then contact the organizers yourself.
(You may prefer to book your own tours with one of the many Kerala tour companies
online).
pre -Congress tour / Richard Kellaway: ishmaelnb@comcast.net post -Congress tours / IARF Office Kerala: iarfsacc@sify.com
YOUNG ADULT PROGRAM
Please tick the box if you will be attending the Young Adult Program from September 1st to 3rd (for those between 18 and 30 years).
I will attend the YA Program
PAYMENT*
After reading Fees for Participants staying at the CRC or Fees for Participants staying at a Hotel , please choose the appropriate registration fee below.
*note: If you have chosen to stay at the Congress venue, you will make payment
here together with the registration fee
Staying at a Hotel HOTEL$302 HOTEL$304 HOTEL$306 HOTEL$308 HOTEL$310 HOTEL$312 HOTEL$314 HOTEL$316 1DayHOTEL$152
Staying at a CRC CRC$316 CRC$332 CRC$348 CRC$364 CRC$380 CRC$396 CRC$412 CRC$428 1DayCRC$156 RFYN$26 RFYN$42 RFYN$58 RFYN$74 RFYN$90 RFYN$106 RFYN$122 RFYN$138
CONFIRMATION
On receiving your registration form, we will email you through PayPal with a
request for payment. On receiving your payment we will send you a letter of acknowledgment,
which you should bring to the Registration desk at Congress.
Please indicate if you require a receipt, and you will receive one by email / post.
receipt
no receipt
* If you require a different name on the receipt, please enter it here:
INDEMNIFICATION DURING THE CONGRESS*
If you are in agreement with Terms & Conditions
of Attendance , please
tick the following box .
I have read and accept all conditions included in the “Terms & Conditions of Attendance”.
Any Comments
IARF Secretariat Address:
IARF c/o Konko Church of Izuo, 3-8-21 Sangenya-Nishi, Taisho-ku, Osaka JAPAN
TEL.+81( 6 )7503-5602 FAX.+81( 6 )7503-5602