2025 Year-End Meditation Retreat 🍀

Amidst the hustle and bustle of daily life, do you often feel exhausted? Are you longing to find inner peace and tranquility?

We cordially invite you to join the year-end meditation retreat hosted by Kuching Dhamma Earth. Recharge your body and mind amidst nature 🌳, and nurture wholesome qualities through the teachings of the Dhamma. We look forward to having you! 🎉

🗣️ Meditation Assistant: Venerable Dhamagavesaka (Language: Mandarin)
📍 Location: Kuching Dhamma Earth
📅 Check-in Date: 29/11/2025 (8am)
📅 Check-out Date: 7/12/2025 (2pm)
📅 Registration Deadline: 18/11 or until slots are filled

Please register through below form:⬇️

For any inquiries, feel free to contact:
🤗 Kuching Dhamma Earth Office: +6019-8582666

Sādhu Sādhu Sādhu 🙏🏻🙏🏻🙏🏻

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！重要通知 / Important Notice！

禅修营日期 Meditation Retreat Date：29/11 - 7/12/2025

在提交表格前，请确保您已阅读并理解[禅修申请指南页面]上的相关规定。 Before submitting the form, please ensure you have read and understood the guidelines on the [Meditation Application Guideline Page].

建议 Recommendation: 为了确保申请流程顺利，请使用电脑浏览器填写表格，而非手机设备。 For a smooth application process, please use a computer browser instead of a mobile device.

如需进一步帮助，请直接联系道场。 For further assistance, kindly contact the monastery directly.

---------------------------------------------------- 法域弟子要学会的美德 The virtues that students of Dhamma Earth should learn:

易受法 Easy to be admonished
易受教 Easy to receive Dhamma teachings
易护持 Easy to be supported

I'm 我是*

姓名 Name*

依护照/IC as per Passport/IC

法名 Dhamma Name

戒师 Preceptor Name (Upajjhāya)*

出家年份 Ordain Year *

雨安居年份 Vassa*

我或许会想申请短期出家。I may apply for short term ordination.*

寺院缺乏人手，或许会需要帮忙早午餐供养。As monastery lack of manpower, we might need help for meal offerings.

禅修期间我愿意做一些服务工作。I am willing to do some service during retreat.*

寺院缺乏人手，或许会需要帮忙早午餐供养。As monastery lack of manpower, we might need help for meal offerings.

出生日期 Date of Birth (日/月/年 Date/Month/Year）*

国籍 Nationality *

马来西亚人 Malaysian

非马来西亚人 Non-Malaysian

年龄 Age *

护照号码 Passport No*

护照截止日期 Passport Expiry Date*

签证截止日期 Visa Expiry Date

性别 Gender*

身份证号码 NRIC No *

宗教 Religion*

电邮地址 Email address*

请勿使用 yahoo 或 ymail 电邮地址。 Please not to use yahoo or ymail email address.

电话 Contact Number*

Eg: +6010-1234567

微信号 Wechat ID

中国贤友请务必提供微信号，以方便联络。也可请加法域微信号: dhammaearthsemenyih 。

戒师名 Upajjhaya’s Name*

出家日期 Ordination Date*

出家地点 Place of Ordination*

专业领域 Area of Profession

职业 Occupation*

通讯地址 Correspondence Address*

州/省/区域 State/Province/Region

市 City*

州 State*

邮政编码 Postcode*

国家 Country*

个人照片上载 Photo Upload*

正面照 Front Portrait Photo

戒牒照片上载 (出家证) Ordain Certification Upload

正面照 Front Portrait Photo

请求、关切和/或咨询 Requests, Concerns and/or Inquiries

紧急联络人姓名 1 Emergency Contact Name 1*

关系 1 Relationship 1

联络电话 1 Contact Number 1*

紧急联络人姓名 2 Emergency Contact Name 2

关系 2 Relationship 2

联络电话 2 Contact Number 2

禅修方法 Type of Meditation Practice*

禅修老师 Meditation Teacher

你是否曾经在任何法域道场（或兜率天修行林）修行过？Have you practiced at any Dhamma Earth monastery or Tusita Hermitage in the past?

是 Yes

否 No

如果有，请简述何时，多久与向哪一位禅师学习。 If so, please give a brief description of when, the duration, and under which Teacher(s) guidance.

你是否有较严重的疾病？Do you have any significant physical health ailments or conditions? *

是 Yes

否 No

如果有，请告知你现在的状况和药物，以及病史及治疗状况。 If so, please give details of your present condition / medication, the condition’s history and treatments *

你现在是否有任何精神方面的疾患，如忧郁、焦虑、歇息底里或其他？ Do you currently have or in the past had any mental health conditions such as depression, panic attacks, hysteria, etc.? *

是 Yes

否 No

如果有，请告知你现在的状况和药物，以及病史及治疗状况。If so, please give details of your present condition / medication, the condition’s history and treatments *

最近3年以来，你是否有饮酒及服用毒品及任何麻醉品？Have you ever used any alcohol, drugs, or any other intoxicants in the past 3 years? *

是 Yes

否 No

如果有，请告知现在及以前的状况，毒品的类型，是否成瘾，及治疗状况。If so, please give details of present and past usage, types, addictions, treatments, etc. *