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FIATA

Schaffhauserstrasse 104, P.O. Box 364, CH-8152 Glattburgg, Switzerland


Tel. +41(0)43 211 65 00, Fax +41 (0)43 211 56 65
E-mail info@fiata.com, Internet http://www.fiata.com

APPLICATION FORM FOR THE


FIATA DIPLOMA IN FREIGHT FORWARDING
Please complete this application form by computer (writeable PDF doc.) or in block letters

Personal information to be completed by the applicant


(will be treated strictly confidential )
Title : Mr Mrs Ms
x
Family Name : TRAN

Forename(s) : HUNG DUONG

Date of birth : Day Month Year


02 NOV 2000

Private Address
Street : 915/77-79 Le Van Luong, Phuoc Kien Commune, Nha Be District

Town and Postal Code : HO CHI MINH

Country : VIET NAM

Business Address
Company name :

Street :
Town and Postal Code :

Country :

Phone : Fax :

E-mail : Website :

Please indicate your name as it should appear on the Diploma


TRAN HUNG DUONG

I the undersigned, in the case of a FIATA Diploma being delivered to me, authorize FIATA to publish my
name and country of residence/ work in the Diploma- Holders Section of the FIATA website (
www.fiata.com) .

Date May 14th 2021 Name TRAN HUNG DUONG Signature


Freight Forwarders Education to be completed by the applicant

A – Method of study
Home study course From to

Class room course From To


August, 2019 July, 2021

B- Professional Knowledge
From To
Practical : on-the-job-training

Theoretical : College study From 2018 To 2022

Name and town of College Ton Duc Thang University

Employment record
Dates (from- to ) Company name, Town, Position
Country

Qualifications obtained
Date Types of qualification Awarded by

Declaration by the applicant

I hereby certify that the details in this application are correct

Date May 14th 2021 Name and Signature TRAN HUNG DUONG

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