APPLICATION FORM 2010

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AIYEP (Australia-Indonesia Youth Exchange Program) (3x4)
ICYEP (Indonesia-Canada Youth Exchange Program)
IMYEP (Indonesia-Malaysia Youth Exchange Program)
SSEAYP (Ship for South East Asia Youth Program)

Handwrite all informations in non-cursive script

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Remarks:

1. The registration form submission deadline is due from April 5, 2010 to April 7, 2010 (every 10
AM - 1 PM) at BadanPemudadanOlahraga, nDalemNgadiwinatan KT II / 23 Alun-alun Selatan
Yogyakarta.

2. Applicants must submit in person completed form with following documents:

3. Insert registration form and the supporting requirements in a yellow folder for SSEAYP and red
folder for AIYEP.

4. For those who pass the administrative selection shall continue to the next phase which will be held
on April 10, 2010 and subsequently April 16-18, 2010 for the final selection. The result is to be
announced by April 19, 2010 via www.pcmijogja.wordpress.com.

Contact Person (No SMS):

∗ Kiki (0274-9655660)

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