Sri Sambuddha Mission Charitable Trust - The Sri Sambuddha Mission Charitable Trust was founded by Venerable Bambalapitiye Gnanaloka Thero.

There are still unfilled fields on this form. Revisit the application and fill it out, please.

You are required to provide truthful information for all the questions/sections.

1. Full name of the applicant

2. Name with initials

3. Date of birth

4. Gender

Male

Female

5. Marital status

Please select marital status.

6. National identity card number

7. Passport number

8. Permanant Address

9. Mobile

Invalid mobile number.

Invalid WhatsApp number.

Home

Invalid Home number.

10. Email address

11. Profession

12. Name with initials of the person to be contacted in an emergency.

13. Applicant’s relationship to emergency contact person.

14. Phone number of the emergency contact.

Invalid Contact Phone number.

15. Do you have any idea of committing yourself to spiritual life (Ordination)?

Yes

16. State your objectives for participating in a meditation program

17. Do you agree to participate in a meditation program at any center in the country?

Yes

18. Please state the nature and dates of involvement in the past with Most Ven. Gnanavimala Maha Thero and Most Ven B. Gnanaloka Thero.

19. If you have any medical conditions or disabilities, please provide information about them.

20. Current treatments are taken for the above ailments and disabilities.

21. Are there any other issues or challenges you are currently facing that we should be aware of? These could include personal, financial, social, legal, or any other relevant concerns.

22. Please mention your honest response to each question.

a) Do you have full permission from your parents/guardian/employer or any such duty-bound relationships to attend the residential meditation program?

Yes

If your answer is no or there are any other details,please provide more information.

b) Are you free from unmanageable loans? Have the individuals or entities from whom you borrowed money expressed satisfaction with the way you are settling the loans, or are you on good terms with them regarding the loans?

Yes

If your answer is no or there are any other details,please provide more information.

c) Are you free from illnesses or deformities from birth, or which have arisen in a later period in life, which have not been cured up till now or there has been no medication found so far?

Yes

If your answer is no or there are any other details,please provide more information.

d) Is there any addiction to toxications (drugs)?

Yes