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2015-02-22

Application forn for Prajna Pure Land Buddhist College (for nuns )

義德寺般若淨宗學院報名表 Application forn for Prajna Pure Land Buddhist College
(出家眾)(for nuns )
                                                   日填Date:
法名(內號)
Dharma Name

俗名Alias

籍貫
Place of birth

照片Photo:
字號(外號)Alias

身分證字號Identification No.

連絡住址Correspondent  Address

僧 別Status :比丘尼□ 式叉尼□ 沙彌尼□

專長Specialist

在家學歷Academic Qualification:

出生年月日:              
Date of Birth :   /yy   /mm    /dd
出家學歷Buddhist Education

年齡Ages

剃度常住Monastery of Tonsure

剃度師長:            法師 □僧□尼
Master of Tonsure:Venerable            BhiksuBhiksuni
剃度日期:                 
Date of Tonsure:  /yy   /mm   /dd

夏臘:
Years of Rains Retreat

常住執事:Specialist in Monastry

受戒日期:          日壇數
Date of Full Ordination: 
    /yy     /mm     /dd
受戒地點:
Place of Ordination:

依止師長:              法師
Master of Refuges:Venerable :

連絡電話Contact Phone No.
    Mobile Phone
現住常住Name of Present living Monastry

健康情形Mental and physical conditions

班別Class

自傳Self-biography