WUCC 2019 Application Form
IMPORTANT DATE!!!
Open for application NOW - 31 MARCH 2019, 11:59 PM Thailand time
Announcement of successful applicants to be made on 1 May 2019

The 3rd Walailak University Cultural Camp (WUCC2019)
Theme: Cultures without Borders
Location: Walailak University, Nakhon Si Thammarat and Bangkok, Thailand
Date: 24 June - 1 July 2019

NOTES:
1. To fill in this application form, you are required to use your GMAIL.
2. Before uploading the scanned documents, please ensure that the documents are CLEAR and EASY TO BE READ. Name your file as specified in each question.
3. Incomplete application will not be considered.
4. All information provided by the applicant in connection with this application must be genuine. Walailak University reserves the right to revoke an offer of any applicants whose information are found to be false or counterfeit.

Email address *
Part 1: Identification & Personal Information
Title *
Personal Name *
Enter your name as ONLY appeared in passport or other official documents
Middle Name *
Enter your name as ONLY appeared in passport or other official documents. Put "-" in case you have no middle name.
Family Name *
Enter your name as ONLY appeared in passport or other official documents. Put "-" in case you have no family name.
Passport or Identification Document *
Please upload your passport page with personal data or any identification cards with English information, e.g. National ID card, driving license, etc.
Required
Passport Number or Other Identification Cards Number *
Calling Name or Short Name (To Be Put on Name Tag) *
Have You Ever Joined the WUCC Before? *
Please Attach Your Current Picture *
Informal picture and selfie are also accepted.
Required
Nationality *
Country of Birth *
Age *
Applicants' age must be between 18 and 30 years old.
Birth Date *
Birth Month *
Birth Year *
Religion *
Dietary Restriction / Food Allergy *
WUCC provides all meals WITH NO PORK, BEEF, and ALCOHOL. If you have other food restriction/allergy, please let us know.
Required
Part 2: Contact Information
Part 2.1: Current Mailing Address
Building Name and House Number *
Road/Street *
District *
City *
Postal Code *
Country *
Part 2.2: Home Address
Building Name and House Number *
Road/Street *
District *
City *
Postal Code *
Country *
Country Code and Mobile Number *
Please include country and area code for international call.
Link to Your Facebook Account (Needed for Communication and Further Announcement) *
Please make sure that you DO NOT just put http://www.facebook.com. The link must be directed to your account.
ํYour T-shirt Size
Part 3: Health Certificate
Health Certificate (Using Provided Forms Only) *
Required
Part 4: Education Information
Part 4.1: Education Information
Are you currently studying or graduated? *
University/Institution (Please Provide Full Name) *
Highest/Current Degree *
Field of Study *
Faculty/School *
Major/Program *
Transcript *
Please upload your latest transcript.
Required
Part 4.2: University Address & Website
University Name & House Number *
Road/Street *
District *
City *
Postal Code *
Country Where Your University Is Located *
Link to Your University's Website *
Part 5: Employment Information
Are you currently being employ? *
Employment position *
Put "-" if you are unemployed.
Company/Organization Name *
Please provide the company/organization's full name. Put "-" if you are unemployed.
Company/Organization Location *
Part 6: Emergency Contact Person
Title *
Personal Name *
Enter his/her name as ONLY appeared in passport or other official documents.
Middle Name *
Enter his/her name as ONLY appeared in passport or other official documents. Put "-" in case he/she has no middle name.
Family Name *
Enter his/her name as ONLY appeared in passport or other official documents. Put "-" in case he/she has no family name.
Relationship to Applicant *
Country Code and Mobile Number *
Please include country and area code for international call.
Email Address *
Part 7: Video Clip Uploading
Link to your two-minute Facebook video talking about "Cultures Without Borders in the Globalized World" (Don't forget to put "#WUCC2019" in your post.) *
The video must be posted on your Facebook together with a hashtag #WUCC2019 and set post's privacy as public. Please provide the link directed to your WUCC video on your Facebook Account.
Part 8: Agreement
You are requested to carefully READ and AGREE the terms and conditions below.
Terms and Conditions (MUST READ!!) *
By clicking the checkboxes below, your parents and you are requested to carefully READ and AGREE the following terms and conditions.
Required
My Declaration *
I have read and agreed to all of the WUCC 2019 terms and conditions. I also accept that Walailak University, in its sole discretion, reserves the right to withdraw me from the program without any compensation if I break the WUCC 2019 terms and conditions. I would be responsible for the cost of damages in case I cause any harm to the objects, properties, or people. Furthermore, if my behaviors or actions are deemed dangerous or illegal, Walailak University could report me to the Royal Thai Police.
Part 9: How did you know about WUCC?
How did you know about WUCC? *
You can choose more than one option.
Required
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