四分律刪補隨機羯磨 1.235

1.235

「我某甲，歸依佛竟、歸依法竟、歸依僧竟，（一日一夜、一年一月）為淨行優婆塞竟。」（三結已。）

"I, N.N., have taken refuge in the Buddha, have taken refuge in the Dharma, have taken refuge in the saṃgha, for (one day and one night / one year and one month) having become a pure-conduct upāsaka." (Concluded three times.)