APPLICATION FORM
Sunway International School is pleased to announce that the Asia Leadership Youth Camp 2018, is back from 2nd - 6th July 2018.

The selected delegates must be present for all five (5) days overnight camp at SIS House where food and refreshments will be provided.

Please note that enrollment in the camp is NOT guaranteed until you receive a notification email on the Selection Committee's decision.

For assistance in filling out the form, please email to asialeadyouth@sunway.edu.my.

PERSONAL INFORMATION
Name: *
Please list full name as per MyKad or Passport
Your answer
NRIC/Passport No.: *
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Contact number: *
6012-xxxxxxx
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Email address: *
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Parent/Guardian's Name: *
Your answer
Parent/Guardian's contact number: *
6012-xxxxxxx
Your answer
Parent/Guardian's email address: *
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Nationality *
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Gender: *
I am a... *
Age: *
For participants below the age of 18, please fill in the consent form.
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Name of School/Institution: *
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Referee
Please identify a referee from your school or organization who would be able to support your application
Name of your Referee: *
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Referee's email address: *
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Home Address
Address *
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City *
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State *
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Postal Code *
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Country *
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Emergency Contact Details
Name of Emergency Contact: *
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Contact Number: *
6012-xxxxxxx
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