ASEAN ADVENTURE CAMP BY AYFN 201

APPLICATION FORM
Please complete in English.
The information you provide in this form will be used solely for the purpose of this program.
Please, send back this application form along with scanned of Identity card (passport or KTP
or student card and recent color photo)

Full name
Place, date of birth
Address
Nationality
Phone number
Include countrys code

Mobile number
Include countrys code

Emergency phone
number
Email
Educational background

Elementary school :
Year
:
Junior high school :
Year
:
Senior high school :
Year
:
University/college :
Year
:

ASEAN ADVENTURE CAMP BY AYFN 201

7
Personal skill

Dance : basic/intermediate/advance

Sing : basic/intermediate/advance

Public speaking : poor, fair, good, advance

Music : basic/intermediate/advance

Language: .

Other :

Personality

Please make short essay about yourself (150 250 words)

Travelling experiences

Write your unforgettable traveling in your life ( 150 250 words)

Organizational
experiences

Working experiences

ASEAN ADVENTURE CAMP BY AYFN 201

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Why would you like to

join the program?

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

Write your reasons why you would like to join the program held by AYFN. (min 100
words)