The 3rd Malaysia Satipatthana Meditation Retreat Registration Form 第三屆大馬四念處禪修課程報名表單 中文版本 English Version Registration Form Encountering the Mind|The 3rd Malaysian Satipatthana Meditation Retreat Registration Form Please give careful consideration and fill in the details truthfully.Please enable JavaScript in your browser to complete this form. - Step 1 of 6Retreat Details☘️【Retreat Details】 www.shineling.org/retreat-en ☘️【Guiding Teachers】 ▌On-site Guiding Teachers Venerable Luangpu Pramote Pamojjo Phra Ajahn Somchai Kittiyano Phra Ajahn Krit Nimmalo Ajahn Oranuch Santayakorn Ajahn Prasan Bhuddhakulsomsiri Ajahn Nat Sriwachirawat Ajahn Nitiya Petchpaibool Ajahn Kittiya Pholkerd (Ajahn Ooi) Ajahn Napatpol Kunatanasate (Ajahn Song) ▌Online Guiding Teachers Phra Wannop Khunawanno (Kruba Nop) Phra Thanusorn Jirasarano (Kruba Mon) ☘️【Retreat Duration】7 Days 6 Nights Reporting Date/Time: Wednesday, 26 March 2025 at 7:30am Retreat Ends: Tuesday, 1 April 2025 at 6:00pm ☘️【Medium of Instruction】 Teachings will be delivered in Thai with English and Chinese translations. ☘️【Retreat Format】 ▌In-person — On-site retreat with available slots for meditation interviews. ▌Online — Retreat conducted via Zoom with cameras off; no slots for meditation interviews are available. ☘️【Admission Quota】 ▌In-person: • 500 participants (298 meditation interview slots) • New students capped at 60% of total participants. ▌Online: • 500 participants (No meditation interview slots) ☘️【Retreat Venue】 Hotel in Selangor, Malaysia The hotel is approximately 50km away from Kuala Lumpur International Airport (KLIA) Terminal 1 and 2. The organizer may arrange airport transfers for overseas students when necessary. ☘️【Food and Accommodation Fees】 ▌Retreat teachings are given free of charge. ▌Online students incur no additional costs. ▌In-person students are responsible for covering their own hotel, meals, and airport transfer expenses. ▌Due to the high number of applicants, single occupancy will not be available for this retreat unless surplus rooms become available. Please ensure you are comfortable with this arrangement before proceeding with registration. ▌The cost of meals and accommodation is approximately RM2xxx per person (around USD $5xx). Detailed information will be provided upon acceptance. ☘️【Organizer】 Shi Ne Ling Monastery The organizer reserves the right to make changes to the retreat. In case of disputes, Shi Ne Ling Monastery reserves the right of final decision. ☘️【Contact Information】 For any inquiries, please contact: Email: shineling.retreat@gmail.com WhatsApp: +6018-919 9096 WeChat/ Line ID: godhamma Next PageEligibility Requirements☘️【In-Person Retreat Requirements】 ⛳️ Returning Students Eligible to apply and have the opportunity for a meditation interview with the teachers if he/she has: ▌Previously participated in any of the following retreats conducted according to the method taught by Venerable Luangpu Pramote Pamojjo Thailand Satipatthana Meditation Retreat Malaysian Satipatthana Meditation Retreat China Study Group Taiwan Satipatthana Meditation Retreat Online Satipatthana Meditation Retreat ⛳️ New Students Eligible to apply and have the opportunity for a meditation interview with the teachers if he/she: Has not previously participated in any in-person or online Satipatthana Meditation Retreat conducted according to the method taught by Venerable Luangpu Pramote Pamojjo, Has listened to or watched at least 30 sessions of teachings by Venerable Luangpu Pramote Pamojjo. Applicants who do not meet this requirement will not be considered for admission. ⛳️ Common Requirements for In-Person Returning and New Students ▌All accepted in-person new and returning students are required to attend a five-week Pre-Retreat Cultivation Sessions, listening to designated teachings. Students with an attendance rate below 70% may risk losing their enrollment status. ▌Students must be in good physical and mental health, stay on-site, and participate fully in the entire retreat. ▌Students must unconditionally accept the organizer’s arrangements if the guiding teacher determines they are no longer suitable to continue. ☘️【Online Retreat Requirements】 Returning and new students who meet the following criteria may register but will not be eligible for a meditation interview with the teacher: Have listened to or watched at least 30 sessions of teachings by Venerable Luangpu Pramote Pamojjo. Notes: ▌Participation in the Pre-Retreat Cultivation Session is optional. ▌Full attendance in all sessions is required for the retreat to count as a completed participation. 【Registration Guidelines】 ▌Admission confirmations will be sent via email by late January 2025. Kindly check both your inbox and spam folder. ▌Admissions are based on eligibility, not on a first-come, first-served basis. ▌Submission of the registration form does not guarantee admission. Please refrain from purchasing an air ticket until your admission is confirmed. The guiding teacher reserves the final discretion on all admission decisions. ▌During the retreat, lay students are not required to observe the Eight Precepts but are expected to voluntarily observe the Five Precepts. ▌The entire retreat will be audio and video recorded for Dhamma sharing. Requests to delete personal meditation interviews from any recordings or photos shared online will not be accommodated. Please register only if you are comfortable appearing in recordings. ▌Due to various restrictions, the organizer cannot accommodate unadmitted individuals or provide services beyond the retreat, such as lodging for personal practice before or after the retreat, family accommodations, or travel arrangements. ▌Unadmitted family members are not permitted to stay or participate in the retreat. Previous PageNext PageCommitments and Survey on Dhamma Learning Experience1. Please choose your method of attendance: *In-personOnline2. Do you undertake to fill in the following details truthfully? *YesNo3. Have you ever participated in any Satipatthana Retreats (In-person/online) conducted according to the method taught by Venerable Luangpu Pramote Pamojjo? *YesNoPlease select the Satipatthana Meditation Retreats you've previously attended as an official student following the method taught by Venerable Luangpu Pramote Pamojjo (multiple selections allowed). *Thailand Satipatthana Meditation RetreatMalaysian Satipatthana Meditation RetreatChina Study GroupTaiwan Satipatthana Meditation RetreatInternational Course in EnglishOnline Satipatthana Meditation RetreatPlease select the number of Thailand Satipatthana Meditation Retreats attended: *Three or more retreatsTwo or fewer retreatsPlease select the Malaysian Satipatthana Meditation Retreat(s) attended (multiple selections allowed): *First Malaysian Satipatthana Meditation Retreat (2023)Second Malaysian Satipatthana Meditation Retreat (2024)Please select the number of online Satipatthana Meditation Retreats attended: *Three or more retreatsTwo or fewer retreats4. Have you listened or watched at least 30 sessions of teachings by Venerable Luangpu Pramote Pamojjo? *YesNoDo you commit to completing 30 sessions of teachings by Venerable Luangpu Pramote Pamojjo, either by listening or watching, by 1 January 2025?YesNo5. Do you observe the five precepts? *YesNo6. How often do you carry out the formal practice? *DailyDailyFrequentlyOcassionallyNever7. Are you able to commit to staying at the designated accommodation throughout the entire duration of the retreat, and participating in all activities independently? *YesNo8. Are you willing to fully comply with the organizer's health measures, such as wearing a mask, testing, and quarantine if required? *YesNo9. Do you commit to attending the five-week pre-retreat cultivation sessions with at least 70% attendance? *YesNo10. There will be audio and video recordings of the entire retreat for the purpose of Dhamma sharing. Are you willing to appear on camera and not request for deletion of recordings associated with your interview session? *YesNo7. Full attendance in all sessions is required for the retreat to count as a completed participation. Are you able to accept this requirement? *YesNo11. Single occupancy will not be available for this retreat unless surplus rooms become available. Are you able to accept this? *YesNo12. Apart from Venerable Luangpu Pramote Pamojjo and the appointed teachers, such as Ajahn Prasan Bhuddhakulsomsiri, Ajahn Nitiya Petchpaibool, etc., are you currently studying meditation with other teacher(s) ? *YesNoPlease indicate the teacher(s) you are currently studying with *13. Do you have any mental health conditions we should be aware of? *No, none to report.YesPlease provide details: *Sorry, you are not eligible for registration. Previous PageNext PageSorry, you are not eligible for registration. Personal ParticularsChinese Name (as per NRIC or passport) *English Name (as per NRIC or passport) *Sangha Name (if any)Gender *MaleFemaleBirthdate *DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Passport Region *MalaysiaMalaysiaSingaporeMainland ChinaHong Kong SARTaiwanMacau SARThailandAustraliaUnited StatesCanadaKoreaSri LankaIndiaMyanmarOtherPlease specify your passport region. *Region of Residence *MalaysiaMalaysiaSingaporeMainland ChinaHong Kong SARTaiwanMacau SARThailandAustraliaUnited StatesCanadaKoreaSri LankaIndiaMyanmarOtherStates *JohorJohorKedahKelantanMelakaNegeri SembilanPahangPenangPerakPerlisSabahSarawakSelangorTerengganuKuala LumpurPlease specify your region of residence *Province *Identity *Sangha Member (monastics)Lay Practitioner (lay person)Profession *Mobile Number (E.g. +60101234567) *Please include country code: Malaysia +60, Singapore +65, China +86, Hong Kong +852, Taiwan +886, Thailand +66Email *EmailConfirm EmailPlease fill in the correct email address as notification for the successful submission of the form will be sent through this email address.Preferred Social Media apps *WhatsAppWeChatLineIf you do not have access to the above, please provide the contact details of your next of kin so that the organizer can get in touch with you promptly.Please provide your WhatsApp number (E.g. 60101234567) *Please include country code: Malaysia +60, Singapore +65, China +86, Hong Kong +852, Taiwan +886, Thailand +66Please provide your WeChat ID *Please provide your WeChat Name *Please provide your Line ID *Please upload the WeChat QR code * Click or drag a file to this area to upload. Please upload the Line QR code * Click or drag a file to this area to upload. In view of WeChat restrictions during addition of friends, please add the following WeChat ID as your friend in advance to ensure that we can contact you upon admission confirmation. Retreat's WeChat ID: godhamma Please add the following Line ID as your friend in advance to ensure that we can contact you upon admission confirmation. Line ID:godhamma Please upload a photo that meets the requirements below: * Click or drag a file to this area to upload. 1. Taken within one month from to date. 2. Face must be clearly visible. 3. Taken with adequate lighting. 4. Original without retouching or beautification. 5. File size no more than 10MBPrevious PageNext PageSorry, you are not eligible for registration. Translation Language OptionsPlease select the language you are familiar with During The Retreat *ChineseChineseEnglishThaiTo listen to teachings and guidance from the teachers during the retreat.During Interview Sessions *ChineseChineseEnglishTo interact with teachers and answer the questions promptly.During Pre-retreat Cultivation Sessions *ChineseChineseEnglishTo watch videos with simultaneous translation or subtitles.Previous PageNext PagePlease read the following information and click "Submit".▌Admission notifications will be sent via email in late January. ▌After submission, you will receive an email notification that the form had been submitted successfully. If you do not receive this email within 24 hours of submission, please check your junk or spam mail box. If the email is not there, it may mean that the form has not have been submitted successfully. Please contact the organizer immediately. 【Organizer】 Shi Ne Ling Monastery The organizer reserves the right to make changes to the retreat. In case of disputes, Shi Ne Ling Monastery reserves the right of final decision. 【Contact Information】 For any inquiries, please contact: Email: shineling.retreat@gmail.com WhatsApp: +6018-919 9096 WeChat/ Line ID: godhamma ----------------------------- Shi Ne Ling Monastery Website: www.shineling.org App: www.godhamma.alicloud1688.com Sorry, you are not eligible for registration. Previous PageSubmit