檀香寺主办organised by Than Hsiang Temple,
《国际佛教大学第六届毕业典礼》
“International Buddhist College 6th Convocation”
04.08.2013

姓名 Name: (C) ___________________________ (E) ___________________________________________________

地址 Address: ___________________________________________________________________________________

电话 Tel No: (Hse) _____________________ (Off) _____________________ (Mobile) _______________________

电子信箱Email: _________________________________________ 性别 Gender:  男 Male  女 Female

国籍 Nationality: _________________________ 职业Occupation: ________________________________________

出生日期 Date of Birth: _____________________ 新身份证号码 New NRIC: ______________________________

护照号码 Passport No : _____________________________ 护照截止日期Passport Expiry: __________________

签名 Signature: _____________________ 日期 Date: ___________________

行程 Itinerary（马来西亚时间 Malaysia Time）

06:00 am 集合于檀香寺 Gather at Than Hsiang Temple
06:30 am 出发（早餐自理） Start Journey (Breakfast not included)
11:00 am 抵达泰南关口- 午餐自费 Arrive at Thai Border - Lunch
12:30 pm 前往国际佛教大学 To International Buddhist College
02:00 pm 参加国际佛教大学第六届毕业典礼 International Buddhist College 6th Convocation
04:00 pm 茶点招待（在国际佛教大学） Hi-Tea at International Buddhist College
05:00 pm 槟城回程 - 关口购物 Leave for Penang – shopping at Kayu Hitam

备注 Remarks:

1. 报名截止 Closing Date: 21.07.2013
2. 请附上护照首页复本 Please attach photocopy the first page of passport
3. 6:30 am 准时出发 Departure at 6:30 am SHARP
4. 询问处 For enquiry:
檀香寺 Than Hsiang Temple No. 132, Jalan Sultan Azlan Shah, 11900 Bayan Lepas, Penang.
Tel: 04-6414822; Fax: 04-6421896; Email: infocentre@thanhsiang.org

FOR OFFICE USE

Form received on: ____________  Photocopy of Passport  Bus No. ____  Remarks _____________________________