Application Form for The ASEAN Classroom 2019
Special Capital Region of Kuala Lumpur, Malaysia
Full Name *
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Place of birth *
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Date of birth *
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Sex *
Nationality *
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University/School *
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Major and Level *
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Address *
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Email address *
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Mobile phone number *
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Passport Number (type "No" if you don't have one) *
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How good is your English communication skill? *
Can you speak other language? *
What’s on your mind when you hear about Humanity? *
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Tell us about your personal life, your family, your daily routines, etc. *
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Motivation Statement (Why would you like to join “The ASEAN Classroom 2019”?) *
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AGREEMENT: I hereby confirm that the information I provide above is correct and I have read the program descriptions. (Please, type your full name for this agreement) *
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