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善戒法师 (正念禅修营) 报名表格
日期 : 11 November 2023 (8am - 5pm)
地点 :KCBA 巴生滨海佛学会 Lot 465 Km2 , Persiaran Tengku Ampuan Rahimah 41200 Klang, Selangor
媒介语 :中文
备注 : i. 7.45am 报到。
ii. 需报名。 报名费随喜
iii. 参加者必须必须全程参与禪修活动。禅修者须穿白色宽鬆上衣配素色长裤。
(主办单位将另行通知报名接受确认。)
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名字 (Name)
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Your answer
性別 (Gender)
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男 Male
女 Female
年龄 (Age)
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Your answer
电邮 Email Address
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Your answer
联络手提号码 Mobile No.(不需放 “-” No need to put "-",例 e.g. : 0115879911)
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现在住在以下那一个区域? (请选一)Currently you are staying at which area (please choose 1)
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Kepong 甲洞区
Kajang /semenyih 加影/士毛月区
Klang 巴生区
Shah Alam 莎亚南区
Cheras 蕉赖区
Rawang 万绕区
Puchong 蒲种区
Petaling Jaya 八打灵区
Putrajaya 布城区
Kuala Lumpur 吉隆坡区
Out-station 外州
Other:
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禪修经驗 (Do you have meditation experience ?)
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有 Yes
无 No
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紧急联络家属名字和电话(Next of Kin's name & contact no for emergency contact purpose)
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