Get Printable Gohonzon

Gohonzon and/or SGINZ Membership Application and Pledge I would like to receive the Gohonzon and/or SGINZ membership On this occasion I make the following pledge I pledge to embrace the Gohonzon throughout my life and to dedicate myself to faith practice and study in exact accord with Nichiren Daishonin s teachings based upon the guidance in faith of the SGI and the membership provisions of SGINZ. I confirm that I meet the following criteria 1 I do gongyo regularly 2 I have been chanting for at least three months 3 I have consistently attended one or more meetings monthly for at least the last three months Tick one A I request to receive SGINZ membership and the Gohonzon 1. I have an area set up where the Gohonzon will be enshrined 2. I have the agreement of the people that live in the same place to have the Gohonzon enshrined there 3. I am aged at least 18 I would like to give a donation to SGINZ in gratitude for being able to receive the Gohonzon enshrined in our home It is recommend all members subscribe to the Buddhism in Focus -Tai Aronui magazine Applicant Name Please print your name clearly as in the order as you would like it on the certificate Applicant Signature Date / / Applications are considered on a case-by-case basis Oct 2015 Page 1 of 2 Please turn over Membership Information Personal Details Organisation Details Preferred name District First name Chapter Family name General Chapter Date of birth dd/mm/yy // Occupation optional Division YWD WD Nationality Date started chanting / / Parent s name if you are under 18 years old Date receiving Membership / Gohonzon / / YMD MD Introduced by Address Unit number/Street number Street name Leaders Approval Approval recommended by District Divisional Leader Please print name and sign Suburb Chapter Divisional Leader City / Town Post Code Land line Mobile in consultation with other same level divisional leaders Email Privacy Act SGINZ has permission to use my profile information for organisational purposes only. Office Use Information Only Certificate printed on / / By Entered on Other Remarks Page 2 of 2. I confirm that I meet the following criteria 1 I do gongyo regularly 2 I have been chanting for at least three months 3 I have consistently attended one or more meetings monthly for at least the last three months Tick one A I request to receive SGINZ membership and the Gohonzon 1. I have an area set up where the Gohonzon will be enshrined 2. I have the agreement of the people that live in the same place to have the Gohonzon enshrined there 3. I have an area set up where the Gohonzon will be enshrined 2. I have the agreement of the people that live in the same place to have the Gohonzon enshrined there 3. I am aged at least 18 I would like to give a donation to SGINZ in gratitude for being able to receive the Gohonzon enshrined in our home It is recommend all members subscribe to the Buddhism in Focus -Tai Aronui magazine Applicant Name Please print your name clearly as in the order as you would like it on the certificate Applicant Signature Date / / Applications are considered on a case-by-case basis Oct 2015 Page 1 of 2 Please turn over Membership Information Personal Details Organisation Details Preferred name District First name Chapter Family name General Chapter Date of birth dd/mm/yy // Occupation optional Division YWD WD Nationality Date started chanting / / Parent s name if you are under 18 years old Date receiving Membership / Gohonzon / / YMD MD Introduced by Address Unit number/Street number Street name Leaders Approval Approval recommended by District Divisional Leader Please print name and sign Suburb Chapter Divisional Leader City / Town Post Code Land line Mobile in consultation with other same level divisional leaders Email Privacy Act SGINZ has permission to use my profile information for organisational purposes only.