APEC VOICES OF THE FUTURE 2015
12 NOVEMBER TO 19 NOVEMBER 2015
MANILA, PHILIPPINES
REGISTRATION FORM
PART ONE: INFORMATION ABOUT THE ORGANISATION
Name of the nominating organisation:Address of the nominating organisation:
Name/designation of nominator:
Email:
Phone (with country and area code):
Fax (with country and area code):
PART TWO: PARTICULARS OF * YOUTH PARTICIPANT / EDUCATOR (TEAM LEADER)
*Please delete as appropriate
Name (As in passport and underline family name or surname): / Affix Recent Photograph Size (37mm x 45 mm)with white background
Here
Nationality: / T-Shirt Size: * S, M, L, XL, XXL
Gender: / Blood Group:
Date of Birth: / Age: / Religion:
Passport No: / Place of Issue: / Date of Issue: / Date of Expiry:
Home Address:
Home Tel No: / Mobile: / Email:
Name of Institution/ organisation:
Faculty / Course /
Year of Study:
Special Dietary Requirements:
Dietary Restriction:
Hobbies/Areas of Interest:
In case of emergency, Primary Contact:
Relationship:
Address of primary contact:
Contact Nos.
of primary contact: / Home Tel: / Office Tel: / Mobile:
Email:
Do you have any medical allergies or conditions? / * Yes / No. If yes, please state details:
1. What do you hope to achieve and learn from participating in the APEC Voices of the Future 2015 in Manila, Philippines? As a young person, how can you help to promote better understanding between the young people in the Asia Pacific Region? (Not more than 500 words).
2. What is your understanding of Inclusive Growth and how you can contribute to it? (Max : 500 words)
Please attach separate paper for the essay if necessary.
Kindly send the completed registration form to:
APEC Voices of the Future 2015
c/o National Youth Achievement Award Council
151 Lorong Chuan
#06-01B (Lobby A) New Tech Park
Singapore 556741
e-mail:
http://www.dropbox.com
Closing date for submission: 2 October 2015
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