Application form “Indonesia Philippines Youth Cultural Exchange Program” Batch 3

A. Personal Data

Name Address Mobile phone Emergency phone number Email Date of birth Age Birth place Gender

: : : : : : : : :

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Educational Information University Faculty Major Current Semester : : : :

B. (no more than 250 words) C. Interest in the program In this box please write a clear and detailed description of your reason why would you like to participate at Indonesian Philippines Youth Cultural Exchange Program (IPYCEP) (no more than 250 words). . Background In this box please describe about your personal life (include skill and ability) and your family.

(250-500 words) F.D. Short Essay Please write a short essay that contains your opinion and knowledge about Indonesian and Filipino cultures. (250-500 words) E. Personal Statement In this box you could inform to us about anything that you have not written yet in the previous boxes. . Short Essay Please write a short essay which discusses about ASEAN.

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