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2024年南天寺皈依暨在家五戒菩薩戒報名表
Nan Tien Temple Taking Refuge and Five Precepts & Bodhisattva Precepts Retreat Application Form
提報道場 Registration Branch
*
Please Select
佛光山南天講堂 Nan Tien Buddhist Tempel Parramatta
佛光山北雪梨佛光緣 Nan Tien Buddhist Temple Chatswood
佛光山南雪梨佛光緣 Nan Tien Buddhist Temple Kogarah
佛光山中天寺 Fo Guang Shan Chung Tian Temple
墨爾本佛光山 Fo Guang Shan Buddhist Temple Melbourne
佛光山 尔有寺 Fo Guang Shan Er You Temple
西澳佛光山 Fo Guang Shan Buddhist Temple of Western Australia
南天寺大雄寶殿 Nan Tien Temple Main Shrine
南天寺靈山塔 Nan Tien Temple Pagoda
南天寺大悲殿 Nan Tien Temple Front Shrine
南天寺客堂 Nan Tien Temple Information Centre
南天寺香雲會館 Nan Tien Temple Pilgrim Lodge
南天寺社教組 Nan Tien Temple Social Education
南天寺文宣組 Nan Tien Temple Media
南天寺行政組 Nan Tien Temple Administration
南天寺法務組 Nan Tien Temple Dharma Affairs
南天寺資訊組 Nan Tien Temple IT
南天寺大寮 Nan Tien Temple Kitchen
南天寺流通處 Nan Tien Temple Gift Shop
南天寺總務組 Nan Tien Temple General Affairs
南天青年書院 Nan Tien Buddhist Youth Academy
南天大學美術館/滴水坊 Nan Tien Art Gallery/Nan Tien Arts Cafe
星雲大師教育基金會 Hsing Yun Education Foundation
南天大學 Nan Tien Institute
紐西蘭北島佛光山 Fo Guang Shan Buddhist Temple New Zealand
紐西蘭南島佛光山 Fo Guang Shan Buddhist Temple Christchurch
無 None of the Above
填表人 Who is filling out the form
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戒子本人 Retreat Participants
道場代填 Branch Temple Application Handler
填表人姓名 Name Filling the Form
戒子中文姓名 Chinese Name
*
Please enter "None" exactly if you don't have a Chinese Name. Then English Name input will show below.
English Name of the Preceptee
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性別 Gender
*
Please Select
男 M
女 F
其他 Prefer not to say
生日 Date of Birth
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-
Day
-
Month
Year
出生地 Place of Birth
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國籍 Nationality
*
婚姻狀況 Marital Status
未婚 Single
已婚 Married
已婚單身 Divorced/Widow(er)
地址 Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
聯絡手機 Mobile Number
*
電子郵件 Email (寄發通知單及團體照用,for sending registration notice and group photo)
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Confirmation Email
Confirm email. example@example.com
學習/工作經歷 Academic Achievement & Work Experience
現職 Occupation
健康狀況 Health Conditions
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包括食物過敏, 精神狀況等 Including Food Allergies, Mental Health etc.
緊急聯絡人 Emergency Contact
*
緊急聯絡人電話 Emergency Contact Tel
*
緊急聯絡人關係 Emergency Contact Relationship
使用語言 Language Use
*
中文 Chinese
英文 English
廣東話 Cantonese
Other
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報名類別 Types of ceremony to be taken
此次是否新皈依?Taking Refuge the first time at this retreat? (之前已皈依者請勾選“否” Please tick "No" if you have already taken refuge before)
*
是 Yes
否 No
皈依師長 Refuge Master
皈依法名 Dharma Name
皈依時間 Refuge Date
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Month
-
Day
Year
參加五戒 Taking Five Precepts *求受菩薩戒新戒(未受五戒)者,請同時勾選“五戒新戒” Those taking the Bodhisattva Precepts for the first time, who have not yet taken the Five Precepts, please also select 'Five Precepts (New Preceptees)'.
*
五戒新戒 Five Precepts (New Preceptees)
五戒複戒 Five Precepts (Renewal Preceptees)
否 No
參加菩薩戒 Taking Bodhisattva Precepts
*
菩薩戒新戒Bodhisattva Precepts (New Preceptees)
菩薩戒復戒Bodhisattva Precepts (Renewal Preceptees)
否 No
新戒領取縵衣 New Preceptees without a precept robe who needs to collect one (cassock)
是 Yes
否 No
身高 Height
體重 Weight
1 吋半身近照(五戒/菩薩戒新戒者) A One-Inch Size Photo (New preceptees)
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三皈五戒菩薩戒線上課程 Online Courses on Taking Refuge, Five Precepts, and Bodhisattva Precepts
*凡報名受戒者請務必參加課程 (課程時間均為雪梨時間),若未上課者,視為自動放棄受戒資格 *Attendance is compulsory for all applicants; Failure to attend the course will be considered an automatic withdrawal. Courses are scheduled in Sydney AEST Time.
參加皈依者 Taking Refuge
7th August, Wed. 7:30pm OR
8th September, Sun. 7:30pm
參加五戒者 Five Precepts
14th August, Wed. 7:30pm OR
8th September, Sun. 7:30pm
參加菩薩戒者 Bodhisattva Precepts
21st August, Wed. 7:30pm OR
8th September, Sun. 7:30pm
佛門禮儀培訓班(必填, 選其一) Pre-retreat Training Workshops (Compulsory, please choose one)
*
07th Sep 2024(Sat)1:00pm 南天寺 180 Berkeley Rd, Berkeley NSW 2506 Australia
15th Sep 2024(Sun)01:30pm 北雪梨佛光緣4 Spring St, Chatswood NSW 2067 Australia
17th Aug 2024(Sat)01:30pm 南雪梨佛光緣247 Princes Highway, Kogarah NSW 2217 Australia
18th Aug 2024(Sun)01:30pm 南天講堂 22 Cowper St, Parramatta NSW 2150 Australia
其他佛光山澳紐道場 Other Fo Guang Shan Branch Temples in Australia and NZ
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費用 Application Fee
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( X )
行政費用 Administration Fee $25
$
25.00
AUD
行政費用和贊助縵衣 Administration fee and donations for precept robes: $75.
$
75.00
AUD
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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戒會備註/道場審核意見 Remark/Temple Retreat Application Review Feedback
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