Thailand Meditation Bureau under the Patronage of the Supreme Patriarch

Registration Form

Assistant Vipassana Instructor Training Program 3/69
Vipassana Study Center, Wat Pa Rataphum. Rataphum sub-district, Khuan Niang district, Songkhla Province
Thailand Meditation Bureau under the Patronage of the Supreme Patriarch
Training date 2026-05-10 to 2026-05-25

Please fill out all information completely and accurately for consideration in the selection process for participation in the program.

Personal information

Address

ติดต่อ

Health

Experience

Confirm

Personal information

Please fill in your personal information completely.

Title *

Please select..Title

First Name *

Please select..First Name

Ordination Name

Last Name *

Please select..Last Name

Alias

National ID / Passport Number*

Please fill Passport Number

Highest level of education

Department

Institute

Date of Birth *

Please select your date of birth

Age *

Age will be calculated automatically.

Ordination Day (for monks/nuns)

Vassa (for monks/nuns)

The Buddhist Lent period will be calculated automatically.

Religion *

Please select..Religion

Race *

Please select..Race

Nationality *

Please select..Nationality

Email *

Please select..Email

Address information

Registered address and current address

Registered address

Address *

Please fill Address

Sub-District*

Please fill Sub-District

District *

Please fill District

Province *

Please fill Province

Postcode *

Please fill Postcode

Current address

My current address is the same as my registered address.

Current address

Sub-District

District

Province

Postcode

Contact information

Contact information and Emergency Contact information

Telephone Number *

Please fill Telephone Number

Line ID

Emergency Contact Person

Emergency Contact Person *

Please fill Emergency Contact Person

Relationship *

Please select..Relationship

Emergency Contact Number *

Please fill Emergency Contact Number

Health Information

Physical and Mental Health Information

Physical Health Problems

Mental Health Problems

Important:

Providing accurate health information will help us provide you with appropriate care. And for your safety and the safety of other participants

Experience in Dhamma practice

Experience and knowledge of Buddhism

Experience in meditation/Vipassana practice

Place of practice

Duration of practice (days)

Methods of practice learned

Dhamma studies level

Pali Level

Abhidhamma Level

Confirm Information and Upload Image

Check Information and Upload Photo

Front-facing photo *

Click to select an image

Or drag and drop the file here

Supports JPG, PNG files, size not exceeding 5MB

Please upload an image

Before submitting your application:

• Check that all information is complete and accurate
• Upload a clear, front-facing photo
• Read and accept the terms of use

Terms and Conditions: Program Participation Regulations

• Participants must be 20 years of age or older.
• Participants must strictly adhere to the center's rules and regulations.
• Mobile phones and electronic devices are prohibited during meditation sessions.
• Participants must dress respectfully and wear white clothing during meditation sessions.
• Smoking, alcohol, and drug use are prohibited.
• Any health problems must be reported in advance.
• Participants may withdraw from the program at any time if they feel unwell.

Scan or click on QR code to join the LINE group.

หลักสูตรอบรมผู้ช่วยพระวิปัสสนาจารย์ รุ่น 3/69 ศูนย์วิปัสสนาศึกษา วัดป่ารัตภูมิ

Acceptance of Participation Conditions:
I have read and understand the program participation regulations and agree to strictly abide by them.

Consent to the Use of Personal Data:
I consent to the use of my personal data solely for contact and program-related purposes.

Your registration has been successfully submitted.!

We will contact you within 3-5 business days.

Qualifications of Applicants for the Assistant Vipassanā Instructor Training Program

1. Be a Buddhist monk or a layperson (male or female).
2. Possess faith and a spirit of selfless dedication to the propagation of Buddhism, and be suitably qualified and ready to perform duties as an Assistant Vipassanā Instructor.
3. Be in good physical health and able to participate continuously in the training and meditation practice throughout the entire duration of the program.
4. Have strong commitment to the study and practice of Vipassanā meditation.
5. Be patient and able to adapt to various situations during the training period.
6. Be able to work well with others, demonstrating both leadership and good followership.

*Only those who successfully complete the training program will be eligible to receive the official certificate of appointment at the 48th Anniversary Auditorium Building,
Mahachulalongkornrajavidyalaya University (Main Campus), on 10 December of each year.