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佛光山紐約道場皈依登記表 Fo Guang Shan New York Temple Taking Refuge Registration Form
皈依日期 :2024/06/16
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Email
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Your email
國籍 Nationality
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Your answer
姓名 Name
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Your answer
性別 Gender
*
男 Male
女 Female
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出生日期 Date of Birth
*
MM
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DD
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YYYY
電話 Mobile Phone
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地址 Address
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學歷 Education
*
小學 Elementary School
中學 Junior High School
高中 High School
大學 College
碩士 Masters
博士 Doctor Degree
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現職 Occupation
*
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您是佛光會員嗎? Member of BLIA
*
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否 No
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您所屬分會 Subchapter
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我希望進一步了解佛光會 I would like to know about BLIA
*
是 Yes
否 No
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求受皈依因緣 Reasons for taking refuge
*
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