APPLICATION FORM
Sunway International School is pleased to announce that the Sunway Asia Leadership Youth Camp 2017, is back from 10th - 14th July 2017.

Participants must be present for all five (5) days of the camp. Accommodation at SIS House and food and refreshments will be provided.

Please note that this is simply an application form and participation at the camp is not guaranteed; participants will be notified on the Selection Committee's decision via email.

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
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:
Your answer
Parent/Guardian's email address:
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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
Your answer
Contact Number
6012-xxxxxxx
Your answer
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