Events
  • Add：21F, No.2, Bao Sheng Rd., Yong-Ye area, New Taipei City, Taiwan, R.O.C.
  • Tel：886-2-82316789 #1716
  • Fax：886-2-82315818
  • Email：dsyen.ljmbs@gmail.com

[ Event Registration Form: Short-term Theravada Buddhism Monastic Retreat ]

For further information, please contact us via the following form or by calling 02-8231-6789#1716

Date: Dec 3 to Dec 10 2016

Name *
Gender
Date of Birth
Dharma Name
Dharma Name in Pali
Educational Level
Age
Height
Weight
Marital Status
Nationality
District
Occupation
Blood type
Passport number
Passport Date of Expiry
Contact Address
Contact Number (Office)
Contact Number (Residential)
Contact Number (Mobile) *
Fax number
E-mail
State of Health
  • High Blood Pressure
  • Heart Disease
  • Diabetes
  • Asthma
  • Other Health Condition

Emergency Contact Person

Name
Phone
Mobile

Remarks：

  1. People suffering from heart disease, asthma, epilepsy, diabetes are discouraged from participating.
  2. As part of the virtue fulfilment of the Monastic Retreat, participants are required to chant/practice "The Compassionate Samadhi Water Repentance 21 times" before the start of the journey.
  3. Please fax to 02-8231-5818 or email to nlily@ljm.org.tw, lashioni@gmail.com
  4. Contact numbers: (02)8231-6789 ext. 1038 , 1716 Lily, Ni