The 60th anniversary of the establishment of diplomatic relationship

between Japan and the Kingdom of Saudi Arabia in 2015

Application Form for Event Endorsement

For official use only. / No. of receipt:
No. of recognition:
/ / (dd/mm/year)
Name of Event / English:
Japanese (optional):
Name of Organizer / English:
Japanese (optional):
Category of Organizer / Circle as appropriate:
Non-Profit Organization / Corporation / School / Public Service / Local Government/Affiliated Institution / Government / Other ( )
Name and Title of
Group Representative(s) / English:
Japanese(optional):
Name and Title of
Individual in Charge of Event / English:
Japanese (optional):
Contact Information / Address:
Tel. No.
Fax No.
E-mail:
URL: / ( ) -
( ) -
Description of Event(s)
Dates/Times of Event
Venue / English:
Japanese (optional):
Co-host (if any) / Name:
Contact:
Subject of Event / Circle all that apply:
Politics / Economics / Science & Technology / Tourism / Japanese Food / Movies / Drama / Dance / Music / Photography / Lifestyle / Health Exercise / Arts / Education / Academic & Intellectual / Sports / Youth /Grassroots Exchange / Other ( )
Format / Circle all that apply:
Festival / Concert / Exhibition / Performance / Conference / Seminar-Lecture / Workshop / Contest / People-to-People Exchange / Training / Volunteer Activities / Program /
Screening / Internet / Book / Other ( )
Circle as appropriate:
A. This will be a stand-alone event.
B. This event is part of a larger event.
[Specify the name of the larger event: ]
Sources of Funding / Circle all that apply:
Public Support / Corporate Contributions/ Donations / Entrance Fee / Membership Fees / Own Funds / Other ( )
Status of Preparation / Circle all that apply:
Event Confirmed / Planning Stage / Conceptual Stage/ Other( )
Use of logo / Circle as appropriate:
I wish/ do not wish to apply for permission to use the Official Logo for the 60th anniversary of the establishment of diplomatic relationship between Japan and the Kingdom of Saudi Arabia in 2015
If you wish to make use of the logo, in what media would you like it to appear?
Posters/ Website/ Pamphlets/ Other ( )
Notes