staying @ dhammasara : monastic guest | Buddhist Society of Western Australia

Your proposed stay dates (Bookings for Oct 2020 - Dec 2022 only)*

Legal Name :*

Given names Surname

Monastic Name :*

Title (eg. Venerable) Name (eg. Sujata)

Email Address*

Phone Number

Street Address*

Address Line 2

City*

State/Province/Region

ZIP/Postal Code

Country*

Date of Birth*

Your Nationality*

Australian

Whom should we contact in an emergency?*

Your relationship with this person, their name and contact number.

Monastic Ordination*

State all the ordinations that you have undertaken.
Click on the dot to add new line.

Bhikkhuni / Samaneri / Anagarikaa / 10-precepts nun / 8-precepts nun / MaeChee	Ordination Date

Details of your last ordination*

Please provide the place of your last ordination, Preceptor Name and your monastic tradition.

Details of the Buddhist monastery/centre you are affiliated:*

Please provide the address and phone number/email.

Your main monastic teachers (list up to 3 teachers)*

Please provide the name, tradition and contact details.

What made you decide to visit Dhammasara?*

What do you hope to get out from spending time at Dhammasara?

List other monasteries that you have stayed before.*

Your lay education background, lay work experience and other skills/talents?*

Do you have any physical health problems?*

Guest are expected to participate in daily monastery work. Please give details of any condition that could endanger you or require treatment during your stay.

Do you have any mental health problems?*

Please specify any mental health issues including medication/treatment and when did you suffer from it last.

Are you taking any medications?*

Please bring along your medications during your stay.

Do you have any special dietary requirements?

We depend on alms which consist of vegetarian and non-vegetarian food. Please bring your own supplements if you are on special diet.

No special diet
Vegetarian

Upload

1. Photo Identification*

Photo ID (Passport Bio page/Australian driver’s licence or other Australian government issued identification).

Max. file size: 256 MB.

2. Proof of Ordination (Certificate or equivalent)*

Drop files here or

Max. file size: 256 MB.

3. Evidence of Health Insurance (Medicare Included)*

Please attach Medicare/Insurance card or Cover Letter stating the details of the coverage and Expiry Date.

Max. file size: 256 MB.

4. Written Reference from Preceptor/Senior Teacher*

Max. file size: 256 MB.

5. Valid Australian Visa e-notification (for Overseas visitors)

You are responsible to have a valid visa during your stay in Australia.
If you do not have a visa yet, please email it to us prior to your arrival.

Max. file size: 256 MB.

Other Supporting Documents (.jpg, .gif, .png, .pdf)

You may wish to upload any other documents to support your application.

Drop files here or

Max. file size: 256 MB.

Declaration

Please check all boxes to indicate your agreement to the conditions of stay.*

Your stay dates cannot be extended without prior approval from the Monastery.

I have read and understand the information page for visitors.
I agree to abide by Dhammasara House Rules.
I shall observe the precepts as appropriate for my ordination type.
I have Medical Insurance coverage during my stay.
I am giving my consent for Dhammansara Nun Monastery to contact the local Emergency Department or appropriate services for treatment should I become mentally or physically unwell.
If I am not an Australian citizen, I have a valid Australian visa during my stay and will not overstay the duration granted.

Your Signature / Initials*

By placing your initials here, we interpret this as being your legally valid signature.

Date Signed / Initialled*

Phone

This field is for validation purposes and should be left unchanged.

Monastic Guest Application

Step 1 of 2

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Declaration