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“I Love Kampong Buangkok”Competition
Application Form
Name: _______________________________________ Gender: F / M
PassportPhoto:
Identification Number: ________________ Nationality: ________________ Date of Birth (D/M/Y): __/__/____ Age: ___ Address: _____________________________________________________ __________________________  ___ Postal Code: __________ Contact Number: (H)___________ (HP) ___________ (O) ___________ School (if applicable): ______________________________________________ 
Submitted:
Art piece / Photograph
Short Write up pertaining to your art piece or photograph (maximum300 words) :
 __________________________________________________________________________________  __________________________________________________________________________________  __________________________________________________________________________________  __________________________________________________________________________________  __________________________________________________________________________________ 
Only for secondary school students:
Will you be interested in attending a 2 days 1 night camp at KampongBuangkok? Y / N
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