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会员申请表格

个⼈资料 Personal Particulars

姓名(英⽂)

Name (English)

姓名(中⽂)

Name (Chinese)

身份证(最后4个号码)

NRIC No. (last 4 digits)

出⽣⽇期

Date of Birth

婚姻状况

Marital Status

联络电话

Contact No

教育程度

Educational Standard

近期照⽚

Recent Photograph

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性别

Gender

出⽣地点

Place of Birth

国籍

Nationality

住家电话

Home No.

电⼦邮箱

Email

通讯地址

Address

邮区

Postal Code

职业领域

Occupation

嗜好

Hobby

佛学背景 Buddhist Background

您是否皈依?

Have you taken the Three Refuges?

皈依本师

Refuge Master

您的法名

Your Dharma Name

您受戒否?

Have you undertaken any Precepts?

如有

If yes

⽇期

Date