With this form, you can apply for a Delegate position for UNISCA 2013. Please fill out this form completely. Note that this form consists out of 3 pages. This form can be completed DIGITALLY. You can enter text in the grey text boxes, you can click on the checkboxes to check or uncheck them and you can select the right information in the drop down menus. Please send the completed form along with your CV, Motivation and scan of your official University Transcript to secretary@unisca.org
General Information
Name E-mail address Gender Date of Birth Place of Birth Nationality Passport Number (dd/mm/yyyy)
Given that UNISCA will take place in Amsterdam, the Netherlands, prospect participants are strongly encouraged to state whether they need a visa to enter the country: I Need a Visa Yes No
Contact Information
Adress City Postal Code Country/state Phone number (Street name and number)
Academic Information
Current University Faculty Discipline Year started Study Credits Student Number (amount of credits obtained until now) Yes No (only for exchange students)
Note for non-UvA students: If you are not a student at the University of Amsterdam, our secretary will send you an e-mail on how to enroll as an exchange (bijvak) or as a foreign student at the University, which is needed to receive the 6 ECTS credits for 1 of 3
2 of 3
Committee
First Comittee of preference GA III: Social, Humanitarian and Cultural Second Committee of preference GA IV: Special Political and Decolisation Third Committee of preference GA I: Disarmament and International Security
Country representation
Pleae choose 3 countries that you would like to represent at the UNISCA Conference - Note: You cannot pick your own country of residence - Note 2: You cannot pick a country that is not currently a member of the United Nations - Note 3: Regarding the Security Council: you cannot pick a country that will not be a member of the Security Council, at time of the UNISCA Conference. Please Click here for the Security Council members list. First Country of preference Second Country of preference Third Country of preference If the country/committee combination of your choice is no longer available, which has your preference? Country By registering, you agree to our General Terms & Conditions, and are obligated to pay the enrolment fee, upon admittance to our programme. Payment information will be sent to you upon admittance. Yes, I have read and agree to the Terms and Conditions Yes, I am aware that my registration will not be completed until I have sent the following documents: - Completed Registry Form - Motivation Letter - Curriculum Vitae 3 of 3
4 of 3
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