WATPAHSUBTHAWEE

WATPAHSUBTHAWEE

BK-Layperson
Type *

Personal Information

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Gender *
Date
Month
Year
Screenshot of passport copy showing full details *
Maximum upload size: 516MB
Languages that you speak *

Present Address

Country Code
Mobile
Home
Work

Education

From
To
From
To

Family Details

Please provide the details of your family in the following table, including at least 2 relatives / next-of-kin whom we can contact
First Name
Last Name
Country
Contact Number
Email
Social Media
ID/Username/Name
First Name
Last Name
Country
Contact Number
Email
Social Media
ID/Username/Name
First Name
Last Name
Country
Contact Number
Email
Social Media
ID/Username/Name
First Name
Last Name
Country
Contact Number
Email
Social Media
ID/Username/Name

Contact Person in case of emergency

Full Name
Relationship
Contact Number
Email
Social Media
ID/Username/Name

Health Information

Blood Type *
Do you have an existing / past medical condition? *
Please select your condition from the following *
Do you have an existing / past mental illness condition? *
Have you ever use drugs? *
Have you had a health check-up during the last 24 months? *
Can you climb stairs? *
Do you need helper for your daily activities? *
Do you need walking aids/wheelchair? *

Background of your Dhamma practice

Nature of your precepts *
Have you ever applied to practise at other Dhamma places before? *
Have you been to Wat Pah Subthawee Dhammaram before? *
How did you get to know about our monastery? *
Name
Nationality
Email
Social Media
ID/Username/Name

Duration of Stay

From
To
Number of days

INDEMNITY

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⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀I,
have read and understood the rules and regulations for layperson staying over more than seven days at Wat Pah Subthawee Dhammaram, and agree to strictly follow them without exception.

I allow Wat Pah Subthawee Dhammaram and its staff to check my biographical data. In the event that I have provided false information or break the rules of the monastery, I will happily accept responsibility for these errors and leave the monastery without excuse or exception. In addition, in the event that I break Thai law inside the monastery, I will willingly accept the corresponding penalty.

I, being of sound mind and body, do hereby promise that I will not intentionally cause any form of damage or loss to the monastery. In the event that I experience any injury, loss, damage, disability, loss of sanity, or loss of life during my stay at the monastery, I will not hold the monastery responsible in any way.

Signature
Date

Thai Immigration Bureau

You may fill in this information only upon arrival, after you pass Thai immigration.
From
Until

Wat Pah Subthawee Dhammaram