Application form



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Art Immersion and Student Exchange Field Trip

AISEF Songkran

Chiang Mai, Thailand

APPLICATION FORM
Please complete in English.

The information you provide in this form will be used solely for the purpose of this program.


1. PERSONAL INFORMATION

Last name





First name





Name shown on passport





Nationality





Date of birth (DD/MM/YYYY)





Place of birth





Sex


( ) Male

( ) Female



Type of participation

( ) New

( ) Returnee (Alumni of previous AYFN Programs)



Current postal address



Phone number (including country code)




Email addresses

(Main Email)

(Alternative Email)



English language proficiency


( ) Excellent

( ) Good


( ) Fair


Organizational Experiences


2. TRAVEL INFORMATION (If you currently hold a valid passport, please provide information below. If you don’t have any yet, please write N/A) and you still can apply this program.

Passport number





Country which issued your passport





Date of issue (DD/MM/YY)





Expiry date (DD/MM/YY)





3. QUESTION

Q.1 PERSONAL STATEMENT
Please tell us about yourself, your study, your family, future plan and your dream (min 300 words)



Q.2 Why do you wish to take part in this AISEF 2017? How would you contribute to its success? (200 words)



Q.4 This is SELF –FUNDED program. So, who will financially support you to take part at this program?



4. Essay

What do you think about the role of youth and culture in ASEAN Economic Community ? (300 word)




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