PAEKTU CULTURAL EXCHANGE - Secure Program Application Form
NOTE: You may experience some technical difficulties with this form on mobile Apple devices. If this is your only method of accessing the form then please email us at contact@paektuculturalexchange.org and we will send you the form as a PDF or Word document. Thank you for your patience!
Email address *
REQUIRED INFORMATION
Last Name (as in your passport) *
Given Name(s) (as in your passport) *
Date of Birth *
MM
/
DD
/
YYYY
Passport Number *
Ethnicity by Birth *
Sex *
Country of Citizenship (Passport) *
Current Position (Position, Company/Organization/School) *
Company/Organization/School Address *
Permanent Address / Current Address *
Phone Number *
Social Media Name & ID (Optional)
Emergency Contact (Relation, Name & Phone Number) *
We are not able to take professional or semi-professional journalists or photographers to the DPRK on tourist visas or without prior consultation. *
Required
Program Name *
A copy of your responses will be emailed to the address you provided.
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