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ASEAN Science Camp 2014
This is an application form for for ASEAN Science Camp 2014. Please fill out the form carefully. For the participants other than Chulalongkorn University and AYFN students, we will contact you for more information regarding the program fee.
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FIrst Name
*
Your answer
Last Name
*
Your answer
Department and Institution/University
*
Your answer
Country of Your Institution/University
*
Your answer
Country of Your Citizenship
*
Your answer
Passport Number
*
Your answer
Gender
*
Male
Female
Required
Date of Birth
*
Your answer
E-mail
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Your answer
Address
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Your answer
Telephone Number (including country code)
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Your answer
Person of Contact (in case of emergency)
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Please include his/her address and telephone number
Your answer
Type of Participant
*
CU student
AYFN
Other:
Required
Payment Method
*
The travel expense to Chulalongkorn University is excluded.
CU Students: 500 Bahts paid at Center of International Cooperation Promotion (in front of Dean's Office)
AYFN (0 Bht -- already made the payment)
Others: 15,000 Bht (Money Transfer to Center of International Cooperation Promotion account --TBA)
Required
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