TainanPurelandLearningCenter(社团法人xx净宗学会.docx

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1、TainanPurelandLearningCenter（社团法人xx净宗学会Alienresidencestayapplicationform(掛單申請表)Date：(y)(m)(d)MONK(比丘)NUN(比丘尼)DharmaName(法號)1recentNameinfull(護照姓名)NameofMaster(剃渡恩師)ReceivedfullOrdinationandtemple受戒地點/日期passportsizephotoLaypeople(居士)Nameinfull(護照(性別)姓名)SexMale男ChineseName中文姓名:Female女◎Intruoduer/gua

2、rantee(Pleasereadbelowverycarefulyandhonesttofillinalltheinfoofintruoduer/guarantee)介紹人/擔保人(以下請先閱讀後，再據實填寫介紹人/擔保人資料)1.Referrer/warrantormustunderstandthereferentdeeply(介紹人應對「被推薦人」有深入之瞭解)2.Referrer/warrantorshouldpersuadedthereferenttoleaveoncethereferenthasdisobeyedtherules.(被推薦人掛單時如行為異常或不遵守道場規定，介紹人

3、應負勸離之責。)Name(姓名)Relationship(關係)Home(電話)Mobile(手機)◎Thepurposeofyourapplication(申請掛單目的)◎WhatyouexpecttolearnfromPurelandLearningCenter?(您想學什麼?)DateofBirth(生日)PassportNo.(護照號Nationality(國籍)LanguagesSpoken(語言)y-m-d碼)Telephone(電區碼話)國碼Mobile(手機)國碼Email：CurrentJobatthetemple(執Education(學歷)ProfessionalQua

4、lification(專事)長)HealthInformation:1.Haveyouhadliverdisease?Diabetes?intestinaltractdisease?cardiovasculardisease?Others(pleasespecify)(過去曾患疾病肝病A、B、C肝糖尿病腸胃疾病心血管疾病其他)2.Hereditarydiseaseorinfectiousdisease(badcoldorotherdiseases)(pleasespecify)_________________遺傳性或傳染性疾病(重感冒或其他疾病)，。無有(請說明)★Areyouinther

5、apyortakinganymedicines?NoYes(pleasenote)______★目前是否同意治療及服用藥物？無有(請說明)EmergencyContactofFamily(家中緊急聯絡人)Name(姓名)Phone.Mobile(電話.手Relationship(關機)係)備註：Pleasedonotbookaticketbeforereceivingthenotification.(未接到通知前,請勿訂機票)OfficialUseOnly(辦公室幹部審核專用)Approve：是簽核者日期：通知人簽名日期：(錄取)否簽核者日期：不錄取因素：評語：評核者/日期:社團法

6、人臺南市淨宗學會掛單規則OvernightrulesinPurelandLearningCenterTainanApprovedbythe23rdBoardMembers’MeetingonApril,27,2017(100年4月27日第三屆第23次理監事聯席會議修正通過)I.Theroomsareofferedforpeoplewhoarehealthy,believinginBuddhaAmitabha,andfollowingVenerableMasterChinKung.本學會寮房提供專修淨土法門，依止淨空導師，且身心健康能自我照顧之四眾弟子掛單。II.Qulification:Ap

7、plicantsshouldinformtheclerkbyphonecallbeforehand,fillintheapplicationformandreadtherulesofovernightinPurelandLearningCentercarefully.掛單資格：掛單需事先電話告知，經審查核准，並填寫報名表及細讀本規定後，方可掛單。★Monks/Nuns出家法師：1.Thosethatarere