法域喜马拉雅 禅修报名表格(不对外开放) DHAMMA EARTH HIMALAYA DHAMPUS NEPAL RETREAT APPLICATION (Non Open)

依护照/IC as per Passport/IC

Eg: +6010-1234567

正面照 Front Portrait Photo

请仔细阅读并同意后才打勾。Please read carefully and agree before ticking.

在此我宣告 I hereby declare that

** You are required to print and fill this “Student Application Form”, sign and save in pdf and through WhatsApp (+9779823553777 – Li Pei) submit to Dhamma Organizer. ** 请列印和填写此”学员报名表格”,签名及储存为 pdf 版,并透过 WhatsApp (+9779823553777 – 莉姵) 发送给法工.