THE HSWAGATA BUDDHA TOOTH RELIC PRESERVATION PRIVATE MUSEUM
FOR INTERNAL USE ONLY
Template No.: T__BL__
Template Title:
Restricted Access / Blacklist Record – Person or Institution
Related Research Case IDs / Cluster:
Cluster F (HGT Conflicts) / Cluster E (Misinformation) / Cluster H (Normative Governance)
Linked Templates / Policies:
T27 (Partner Due Diligence)
T54–T56 (Forgery & Fact-Check Response)
Institutional Policies for Relic Stewardship
Vinaya-Inspired Ethics & Right Speech Guidelines
Date of form: ____ / ____ / ______
Prepared by / Role: _______________________
Office / Unit: ____________________________
Country / Location: _______________________
Confidentiality Level:
☐ Internal only ☐ Restricted ☐ Sacred-Restricted / Sensitive
Use of this form (tick):
☐ New record ☐ Update / escalation ☐ Periodic review ☐ Archive only
SECTION 1 – IDENTIFICATION OF SUBJECT
Type of subject:
☐ Individual ☐ Institution ☐ Media outlet ☐ Online platform / channel
Full name (official / legal):
Known aliases / alternative names (if any):
Affiliation / Position (if applicable):
Contact details (if relevant and lawful):
SECTION 2 – SCOPE OF RESTRICTION
Nature of restriction (tick all that apply):
☐ No relic access
☐ No custodial role
☐ No partnership / MoU
☐ No media collaboration
☐ No public endorsement
☐ No representation of HSWAGATA
☐ Other (specify): _______________________
Level of restriction:
☐ Temporary (review required)
☐ Conditional (upon clarification / apology / correction)
☐ Indefinite (high risk to relics or institution)
Effective date: ____ / ____ / ______
Review date (mandatory): ____ / ____ / ______
SECTION 3 – GROUNDS FOR LISTING (FACT-BASED)
This section must be factual, restrained, and evidence-linked.
No insults, assumptions, or emotional language are permitted.
Primary grounds (tick):
☐ Verified misinformation about Buddha relics
☐ Use of forged or false documents
☐ Misuse of science (DNA / C-14 claims without basis)
☐ Breach of trust or custodial ethics
☐ Financial or gift-related conflict of interest
☐ Threats, coercion, or intimidation
☐ Reputational harm to the Buddha-sāsana
☐ Other serious governance risk
Short factual summary (max. 200 words):
SECTION 4 – EVIDENCE & VERIFICATION STATUS
Evidence types attached (tick):
☐ Documents / letters
☐ Screenshots / messages
☐ Media recordings
☐ External verification (labs, institutions, embassies)
☐ Internal witness notes
☐ Other: _______________________
Verification status:
☐ Unverified (precautionary restriction)
☐ Partially verified
☐ Fully verified by external authority
Handled under related template(s):
T53 / T54 / T66 / T68 / T75 (circle if applicable)
SECTION 5 – BUDDHIST & ETHICAL CONSIDERATION
Relevant ethical principles applied:
☐ Right Speech (truthful, non-harmful)
☐ Non-greed (alobha)
☐ Non-hatred (adosa)
☐ Non-delusion (amoha)
☐ Protection of Saṅgha harmony (saṅghasāmaggī)
Statement:
This restriction is applied not out of anger or revenge, but to
protect sacred relics,
prevent harm to faith and public understanding, and
maintain peace, trust, and ethical governance.
SECTION 6 – DECISION & AUTHORIZATION
Decision-making body:
☐ Board of Directors
☐ Sangha Advisory Council
☐ Ethics & Risk Committee
☐ Emergency Executive Decision (temporary)
Decision date: ____ / ____ / ______
Authorized by (name & role):
Signature: _______________________ Seal: ☐
SECTION 7 – COMMUNICATION & DISCLOSURE RULES
Internal communication:
☐ Need-to-know only
☐ Do not circulate beyond named units
External communication:
☐ No public mention
☐ Neutral clarification only (no naming)
☐ Legal / media response handled separately
HSWAGATA does not engage in public shaming.
All actions follow restraint, lawfulness, and compassion.
SECTION 8 – REVIEW, REMOVAL, OR APPEAL
Conditions for review or removal:
☐ Verified correction or retraction
☐ Formal apology or clarification
☐ New evidence clearing the risk
☐ Time-bound cooling-off period completed
Appeal received? ☐ Yes ☐ No
Handled under template: T68 / T75 / T80
Final outcome:
☐ Restriction lifted
☐ Restriction maintained
☐ Restriction modified
SECTION 9 – ARCHIVAL NOTE
This record is archived for institutional memory, learning, and prevention,
in line with peace-oriented relic custodianship and the long-term protection of the Buddha-sāsana.
Archive reference code: _______________________
Notes for Use
This template must never be used emotionally or personally
It is governance-based, reversible, and evidence-driven
It aligns with Vinaya caution, Abhidhamma ethics, and peace studies
