BK-Layperson
Type *

Personal Information

(optional) ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀
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