Dress Code

Code
A

SC

Description
Formal (business suit)
Male: Shirt with blazer, Tie, long plants, belt, sock, formal shoes
Female: Shirt with blazer, skirt (or long plants), stockings, formal shoes
SC - Smart Casual
Male: Shirt, long pants, belt, sock, casual shoes (no sandal)
Female: Shirt, skirt, long pants, casual shoes (no sandal)
TTraditional Costume
Male and Female Costumes For Creative Cultural Performance

ASEAN Youth Exchange Program 2016

ASEAN Korea Youth Network Workshop 2016

Please attach a photo

here
*Photo must be no
more than 6 months
old

Application Form
ASEAN Youth Exchange Program 2016
Lingering the Enhancement of ASEAN Community
and
ASEAN-Korea Youth Network Workshop 2016
Marine Conservation Promoting the Sustainable Use of Costal and Marine
Resources

**All documents and essays MUST be filled in BLOCK LETTERS**

Application No.....

APPLICANT INFORMATION

(For officer use only)

1. Applicant Name (as appears on the passport)

(Mr./Ms./Mrs.)
First name
2. Date of Birth

Family name

3. Age

4. Sex Male /Female /Other (for statistical purposes only)

5. Nationality

6. Identification Number

7. Passport Number

Place of Issue

Date of issue

Date of expiry

8. VISA information (Do you have traveling VISA for Thailand?)

Have/ Dont have/ Processing/ No requirement
9. Telephone number (+)
10. Mobile Phone number (+)_______________________________________________
11. E-mail address
12. Polo shirt size

ASEAN Youth Exchange Program 2016

ASEAN Korea Youth Network Workshop 2016

EDUCATIONAL INFORMATION
1. Current Institute
University

Country

Field of Study

Year

GPAX

out of

2. Language Proficiency (Poor, Fair, Good, Excellent)

Foreign Language
1.

Listening

Reading

Speaking

Writing

English

2.
3.

EXTRACURRICULAR ACTIVITIES AND/OR AWARDS

ASEAN Youth Exchange Program 2016

ASEAN Korea Youth Network Workshop 2016

ESSAY QUESTION
Essays: All applicants are required to answer.
Question: It is argued that rapid development and tourism have caused negative
consequences on the environment and culture. As an ASEAN youth, please suggest ways
for public and private sectors to develop a sustainable approach(es) promoting economic
growth and at the same time preserving the environment and culture.
(300words maximum)
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ASEAN Youth Exchange Program 2016
ASEAN Korea Youth Network Workshop 2016

SUBMISSION

Please submit the following documents together with your application (Your application
will not be considered without the following materials):
A. Completed application form
B. Resume or Brief bio-data
C. Copy of passport
D. Copy of transcript
E. Completed parental consent form
F. Copy of related research paper (Optional)
G. Copy of language proficiency test result (Optional)

I declare that the information given is true to the best of my knowledge. If I am

awarded the funding, I agree to comply with the rules and regulations of the organizer.

Applicant Signature

Date

ASEAN Youth Exchange Program 2016

ASEAN Korea Youth Network Workshop 2016

PARENTAL CONSENTFORM
*This form must be completed by applicants parent or guardian and attached along with application package.

Parent Information
Family name

First name
National ID/
Passport
Number

Participant Information
First name

Family name

Date of Birth

Name of
Program
August 2nd, 2016 to August 10th, 2016

Date(s)From

Parent or Guardians signature

I agree to my son/ daughter taking part
in ASEAN Youth Exchange Program
2016 / ASEAN-Korea Youth Network
Workshop 2016

Emergency Contact Detail

Home address

Contact telephone numbers(for the duration of the project)

Name

Home

Mobile

Work

Alternative contact

Relationship to student:

Address

Name

Home

Mobile

Work
ASEAN Youth Exchange Program 2016
ASEAN Korea Youth Network Workshop 2016

Medical Information
Please mark with X if appropriate:

Applicant does not suffer from any medical or mental condition requiring
regular treatment.
Applicant
suffers from
Allergic to

Type of reaction

Applicant has
an allergy
to the
following:

Dietary Information
Does applicant have any special dietary requirement?
YES NO

e.g. vegetarian, kosher, allergies, halal

(please give details)

Declaration by Parent /Guardian

I have read and completed this form and to the best of my knowledge, the details given are true
and accurate.
As parent and/or legal guardian, I remain legally responsible for any personal actions taken by
the above named minor participant.
I agree on behalf of myself, my child named here in, or our heirs, successors and assigns, to
hold harmless and defend ASEAN Youth Exchange Program 2016/ ASEAN-Korea Youth Network
Workshop 2016 , its staffs, agents, and representatives associated with the project, from any and all
actions, claims, demands, damages, costs, expenses and all consequential damage arising from or in
connection with my child attending the event or in connection with any illness or injury or cost of
medical treatment in connection therewith, and I agree to compensate the expenses that are not covered
by program fund therewith.

Signature

Date

ASEAN Youth Exchange Program 2016

ASEAN Korea Youth Network Workshop 2016