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Application Form for The ASEAN Classroom 2019
Special Capital Region of Kuala Lumpur, Malaysia
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* Indicates required question
Full Name
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Your answer
Place of birth
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Your answer
Date of birth
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MM
/
DD
/
YYYY
Sex
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Male
Female
Nationality
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Your answer
University/School
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Your answer
Major and Level
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Your answer
Address
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Your answer
Email address
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Your answer
Mobile phone number
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Your answer
Passport Number (type "No" if you don't have one)
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Your answer
How good is your English communication skill?
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Excellent
Good
Intermediate
Poor
Can you speak other language?
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Yes
No
What’s on your mind when you hear about Humanity?
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Your answer
Tell us about your personal life, your family, your daily routines, etc.
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Your answer
Motivation Statement (Why would you like to join “The ASEAN Classroom 2019”?)
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Your answer
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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Your answer
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