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2019 Fo Guang Shan Hsi Lai Temple Five Precepts and Triple Gem Refuge Online Application Form佛光山西來寺甘露灌頂三皈五戒線上報名
Last Name (姓) *
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First Name (名) *
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中文姓名 (Chinese Name)
if available
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Gender 性別 *
Age 年齡 *
Your answer
Date of Birth 出生日期 *
yyyy/mm/dd
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Nationality 國籍 *
ie. US, Taiwan 例如:美國、台灣
Your answer
Dharma Name 皈依法名
(Five Preceptee only/受五戒者請填寫)
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Dharma Teacher 皈依師長
(Five Preceptee only/受五戒者請填寫)
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Refuge Date 皈依日期
(Five Preceptee only/受五戒者請填寫)
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Place of Refuge 皈依地點
(Five Preceptee only/受五戒者請填寫)
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Address 地址 *
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Phone 電話 *
Cell phone or Home phone 手機或家裡的電話
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Email 郵件 *
Your Registration Letter will be sent by email, thus please make sure this is correct. 您的報到通知單將透過Email寄出,請確認填寫無誤。
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Education 學歷 *
Occupation 現職
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Language Used 使用語言 *
Required
Height 身高
ft*in(尺*寸)(New applicants for Five Precepts must fill in/五戒新戒者請務必填寫)
Your answer
Weight 體重
lb(磅)(New applicants for Five Precepts must fill in/五戒新戒者請務必填寫)
Your answer
Chest Measurement 胸圍
in(寸)(New applicants for Five Precepts must fill in/五戒新戒者請務必填寫)
Your answer
Health condition 身體狀況(現有疾病)
Your answer
Request for 求授戒別 *
Required
Experience in Learning Buddhism/學佛因緣 *
Please also tell us why you want to take refuge or take the precepts/想皈依或受戒的原因
Your answer
Member of BLIA?? 您是佛光會員嗎? *
If yes, which subchapter do you belong to? 若是佛光會員,請問您所屬分會是哪一個分會?
Your answer
How did you hear about this event?您是如何知道這個活動? *
Required
Do you want to receive information about our event activities? 您想要得到更多西來寺的活動資訊嗎? *
If so, through E-mail or through Mail? 如果想要得到資訊,您想要透過電郵或郵寄? *
您還有甚麽需要讓我們知道? Any other comments?
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