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1、AttachPhoto贴相片StudentApplicationForm(Nuns)学员报名表格（尼师）1.PersonalParticulars个人资料NameInPassport护照名:DhammaName法名:NRICNo.身份证号码:Nationality国籍:DateofBirth出生日期:Forforeigneronly只供外国人OrdinationParticulars出家资料PassportNo.护照号码:Upajjhaya’sName戒师名:PassportExpiryDate护照截止日
2、期:OrdinationDate出家日期:VisaexpiryDate签证截止日期:PlaceofOrdination出家地点:Address地址:ContactNo联络电话:Hand-Phone手机:Email电邮:Retreat禅修期to至Remarks备注(forofficeuse/办公用)：2.EmergencyContactPerson紧急联络人Name姓名:Relationship关系:ContactNo联络电话:HP手机:Name姓名:Relationship关系:ContactNo联络电话
3、:HP手机:3.MeditationExperience禅修经验Typeofmeditationpractice禅修方法:MeditationTeacher禅师:HaveyoupracticedatTusitaHermitageorBodhivanaBuddhistHermitageinthepast?Yes/No*你是否曾经在兜率天修行林，或菩提禅林修行过？有/没有*Ifso,pleasegiveabriefdescriptionofwhen,theduration,andunderwhichTeach
4、er(s)guidance.如果有，请简述何时，多久与向哪一位禅师学习。*Deletewherenotapplicable/请删除不要的4.Health&Well-Being健康状态Doyouhaveanysignificantphysicalhealthailmentsorconditions?Yes/No*你是否有较严重的疾病？有/没有*Ifso,pleasegivedetailsofyourpresentcondition/medication,thecondition’shistoryandtre
5、atments.如果有，请告知你现在的状况和药物，以及病史及治疗状况。Doyoucurrentlyhaveorinthepasthadanymentalhealthconditionssuchasdepression,panicattacks,hysteria,etc.?:Yes/No*你现在是否有任何精神方面的疾患，如忧郁、焦虑、歇息底里或其他？有/没有*Ifso,pleasegivedetailsofyourpresentcondition/medication,thecondition’shisto
6、ryandtreatments.如果有，请告知你现在的状况和药物，以及病史及治疗状况。Haveyoueverusedanyalcohol,drugs,oranyotherintoxicantsinthepast3years?Yes/No*最近3年以来，你是否有饮酒及服用毒品及任何麻醉品？有/没有*Ifso,pleasegivedetailsofpresentandpastusage,types,addictions,treatments,etc.如果有，请告知现在及以前的状况，毒品的类型，是否成瘾，及治疗
7、状况？5.ImportantRulesandRegulationsofTusitaHermitage兜率天修行林的重要規則1.TheTusitaSanghaCouncil(Council)ChairstheManagementandAdministrationoftheHermitages2.Sangha&SayalayOfficersserveonbehalfoftheCounciltocarry-outdailyadministrativedutiesoftheHermitages3.Students
8、mustrespectfullyadheretoadministrativeinstructionsgivenbymanagement4.TheHermitagesdonotallowself-practitioners;interviewswiththeMeditationTeachermustbeattended5.StudentsmusttakeDhammainstructionsfromonlytheapprovedM
