Guest RegistrationWe look forward to welcoming you to The Shanti Space. Please ensure you complete this form as it is a government requirement before your arrival. Full Name * First Name Last Name Retreat Facilitators Name * Please add Retreat Leader Name / Name of the Retreat Arrival Date at The Shanti Space * What date does your Retreat at The Shanti Space start? MM DD YYYY Departure Date from The Shanti Space * What date does your Retreat at The Shanti Space end? MM DD YYYY Contact Email * Would you like to receive occasional updates from The Shanti Space? * Yes, please! No, thank you. Contact Number Nationality * Date of Birth * MM DD YYYY Country of birth * Identify document number * Identify document type * Passport Driving License Other Issuing country * United Kingdom GBR Portugal PRT Afghanistan AFG Aland Islands ALA Albania ALB Algeria DZA American Samoa ASM Andorra AND Angola AGO Anguilla AIA Antarctica ATA Antigua and Barbuda ATG Argentina ARG Armenia ARM Aruba ABW Australia AUS Austria AUT Azerbaijan AZE Bahamas BHS Bahrain BHR Bangladesh BGD Barbados BRB Belarus BLR Belgium BEL Belize BLZ Benin BEN Bermuda BMU Bhutan BTN Bolivia BOL Bosnia and Herzegovina BIH Botswana BWA Bouvet Island BVT Brazil BRA British Virgin Islands VGB British Indian Ocean Territory IOT Brunei Darussalam BRN Bulgaria BGR Burkina Faso BFA Burundi BDI Cambodia KHM Cameroon CMR Canada CAN Cape Verde CPV Cayman Islands CYM Central African Republic CAF Chad TCD Chile CHL China CHN Hong Kong, SAR China HKG Macao, SAR China MAC Christmas Island CXR Cocos (Keeling) Islands CCK Colombia COL Comoros COM Congo (Brazzaville) COG Congo, (Kinshasa) COD Cook Islands COK Costa Rica CRI Côte d'Ivoire CIV Croatia HRV Cuba CUB Cyprus CYP Czech Republic CZE Denmark DNK Djibouti DJI Dominica DMA Dominican Republic DOM Ecuador ECU Egypt EGY El Salvador SLV Equatorial Guinea GNQ Eritrea ERI Estonia EST Ethiopia ETH Falkland Islands (Malvinas) FLK Faroe Islands FRO Fiji FJI Finland FIN France FRA French Guiana GUF French Polynesia PYF French Southern Territories ATF Gabon GAB Gambia GMB Georgia GEO Germany DEU Ghana GHA Gibraltar GIB Greece GRC Greenland GRL Grenada GRD Guadeloupe GLP Guam GUM Guatemala GTM Guernsey GGY Guinea GIN Guinea-Bissau GNB Guyana GUY Haiti HTI Heard and Mcdonald Islands HMD Holy See (Vatican City State) VAT Honduras HND Hungary HUN Iceland ISL India IND Indonesia IDN Iran, Islamic Republic of IRN Iraq IRQ Ireland IRL Isle of Man IMN Israel ISR Italy ITA Jamaica JAM Japan JPN Jersey JEY Jordan JOR Kazakhstan KAZ Kenya KEN Kiribati KIR Korea (North) PRK Korea (South) KOR Kuwait KWT Kyrgyzstan KGZ Lao PDR LAO Latvia LVA Lebanon LBN Lesotho LSO Liberia LBR Libya LBY Liechtenstein LIE Lithuania LTU Luxembourg LUX Macedonia, Republic of MKD Madagascar MDG Malawi MWI Malaysia MYS Maldives MDV Mali MLI Malta MLT Marshall Islands MHL Martinique MTQ Mauritania MRT Mauritius MUS Mayotte MYT Mexico MEX Micronesia, Federated States of FSM Moldova MDA Monaco MCO Mongolia MNG Montenegro MNE Montserrat MSR Morocco MAR Mozambique MOZ Myanmar MMR Namibia NAM Nauru NRU Nepal NPL Netherlands NLD Netherlands Antilles ANT New Caledonia NCL New Zealand NZL Nicaragua NIC Niger NER Nigeria NGA Niue NIU Norfolk Island NFK Northern Mariana Islands MNP Norway NOR Oman OMN Pakistan PAK Palau PLW Palestinian Territory PSE Panama PAN Papua New Guinea PNG Paraguay PRY Peru PER Philippines PHL Pitcairn PCN Poland POL Puerto Rico PRI Qatar QAT Réunion REU Romania ROU Russian Federation RUS Rwanda RWA Saint-Barthélemy BLM Saint Helena SHN Saint Kitts and Nevis KNA Saint Lucia LCA Saint-Martin (French part) MAF Saint Pierre and Miquelon SPM Saint Vincent and Grenadines VCT Samoa WSM San Marino SMR Sao Tome and Principe STP Saudi Arabia SAU Senegal SEN Serbia SRB Seychelles SYC Sierra Leone SLE Singapore SGP Slovakia SVK Slovenia SVN Solomon Islands SLB Somalia SOM South Africa ZAF South Georgia and the South Sandwich Islands SGS South Sudan SSD Spain ESP Sri Lanka LKA Sudan SDN Suriname SUR Svalbard and Jan Mayen Islands SJM Swaziland SWZ Sweden SWE Switzerland CHE Syrian Arab Republic (Syria) SYR Taiwan, Republic of China TWN Tajikistan TJK Tanzania, United Republic of TZA Thailand THA Timor-Leste TLS Togo TGO Tokelau TKL Tonga TON Trinidad and Tobago TTO Tunisia TUN Turkey TUR Turkmenistan TKM Turks and Caicos Islands TCA Tuvalu TUV Uganda UGA Ukraine UKR United Arab Emirates ARE United States of America USA US Minor Outlying Islands UMI Uruguay URY Uzbekistan UZB Vanuatu VUT Venezuela (Bolivarian Republic) VEN Viet Nam VNM Virgin Islands, US VIR Wallis and Futuna Islands WLF Western Sahara ESH Yemen YEM Zambia ZMB Zimbabwe ZWE Country of residence * United Kingdom GBR Portugal PRT Afghanistan AFG Aland Islands ALA Albania ALB Algeria DZA American Samoa ASM Andorra AND Angola AGO Anguilla AIA Antarctica ATA Antigua and Barbuda ATG Argentina ARG Armenia ARM Aruba ABW Australia AUS Austria AUT Azerbaijan AZE Bahamas BHS Bahrain BHR Bangladesh BGD Barbados BRB Belarus BLR Belgium BEL Belize BLZ Benin BEN Bermuda BMU Bhutan BTN Bolivia BOL Bosnia and Herzegovina BIH Botswana BWA Bouvet Island BVT Brazil BRA British Virgin Islands VGB British Indian Ocean Territory IOT Brunei Darussalam BRN Bulgaria BGR Burkina Faso BFA Burundi BDI Cambodia KHM Cameroon CMR Canada CAN Cape Verde CPV Cayman Islands CYM Central African Republic CAF Chad TCD Chile CHL China CHN Hong Kong, SAR China HKG Macao, SAR China MAC Christmas Island CXR Cocos (Keeling) Islands CCK Colombia COL Comoros COM Congo (Brazzaville) COG Congo, (Kinshasa) COD Cook Islands COK Costa Rica CRI Côte d'Ivoire CIV Croatia HRV Cuba CUB Cyprus CYP Czech Republic CZE Denmark DNK Djibouti DJI Dominica DMA Dominican Republic DOM Ecuador ECU Egypt EGY El Salvador SLV Equatorial Guinea GNQ Eritrea ERI Estonia EST Ethiopia ETH Falkland Islands (Malvinas) FLK Faroe Islands FRO Fiji FJI Finland FIN France FRA French Guiana GUF French Polynesia PYF French Southern Territories ATF Gabon GAB Gambia GMB Georgia GEO Germany DEU Ghana GHA Gibraltar GIB Greece GRC Greenland GRL Grenada GRD Guadeloupe GLP Guam GUM Guatemala GTM Guernsey GGY Guinea GIN Guinea-Bissau GNB Guyana GUY Haiti HTI Heard and Mcdonald Islands HMD Holy See (Vatican City State) VAT Honduras HND Hungary HUN Iceland ISL India IND Indonesia IDN Iran, Islamic Republic of IRN Iraq IRQ Ireland IRL Isle of Man IMN Israel ISR Italy ITA Jamaica JAM Japan JPN Jersey JEY Jordan JOR Kazakhstan KAZ Kenya KEN Kiribati KIR Korea (North) PRK Korea (South) KOR Kuwait KWT Kyrgyzstan KGZ Lao PDR LAO Latvia LVA Lebanon LBN Lesotho LSO Liberia LBR Libya LBY Liechtenstein LIE Lithuania LTU Luxembourg LUX Macedonia, Republic of MKD Madagascar MDG Malawi MWI Malaysia MYS Maldives MDV Mali MLI Malta MLT Marshall Islands MHL Martinique MTQ Mauritania MRT Mauritius MUS Mayotte MYT Mexico MEX Micronesia, Federated States of FSM Moldova MDA Monaco MCO Mongolia MNG Montenegro MNE Montserrat MSR Morocco MAR Mozambique MOZ Myanmar MMR Namibia NAM Nauru NRU Nepal NPL Netherlands NLD Netherlands Antilles ANT New Caledonia NCL New Zealand NZL Nicaragua NIC Niger NER Nigeria NGA Niue NIU Norfolk Island NFK Northern Mariana Islands MNP Norway NOR Oman OMN Pakistan PAK Palau PLW Palestinian Territory PSE Panama PAN Papua New Guinea PNG Paraguay PRY Peru PER Philippines PHL Pitcairn PCN Poland POL Puerto Rico PRI Qatar QAT Réunion REU Romania ROU Russian Federation RUS Rwanda RWA Saint-Barthélemy BLM Saint Helena SHN Saint Kitts and Nevis KNA Saint Lucia LCA Saint-Martin (French part) MAF Saint Pierre and Miquelon SPM Saint Vincent and Grenadines VCT Samoa WSM San Marino SMR Sao Tome and Principe STP Saudi Arabia SAU Senegal SEN Serbia SRB Seychelles SYC Sierra Leone SLE Singapore SGP Slovakia SVK Slovenia SVN Solomon Islands SLB Somalia SOM South Africa ZAF South Georgia and the South Sandwich Islands SGS South Sudan SSD Spain ESP Sri Lanka LKA Sudan SDN Suriname SUR Svalbard and Jan Mayen Islands SJM Swaziland SWZ Sweden SWE Switzerland CHE Syrian Arab Republic (Syria) SYR Taiwan, Republic of China TWN Tajikistan TJK Tanzania, United Republic of TZA Thailand THA Timor-Leste TLS Togo TGO Tokelau TKL Tonga TON Trinidad and Tobago TTO Tunisia TUN Turkey TUR Turkmenistan TKM Turks and Caicos Islands TCA Tuvalu TUV Uganda UGA Ukraine UKR United Arab Emirates ARE United States of America USA US Minor Outlying Islands UMI Uruguay URY Uzbekistan UZB Vanuatu VUT Venezuela (Bolivarian Republic) VEN Viet Nam VNM Virgin Islands, US VIR Wallis and Futuna Islands WLF Western Sahara ESH Yemen YEM Zambia ZMB Zimbabwe ZWE Home address * Address 1 Address 2 City State/Province Zip/Postal Code Country Fantastic we have received your form.We very much look forward to seeing you.The Shanti Space