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Application Form (JENESYS2.0)

The document is an application form for the JENESYS 2.0 program between 26 May 2013 and 2 June 2013. It requests information such as the applicant's name, nationality, date of birth, address, email, phone number, school details, passport information, participation history in similar programs, achievements, personality, career goals, and views on Japan. The applicant must sign and date the form.

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Annisa Rahmani
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51 views3 pages

Application Form (JENESYS2.0)

The document is an application form for the JENESYS 2.0 program between 26 May 2013 and 2 June 2013. It requests information such as the applicant's name, nationality, date of birth, address, email, phone number, school details, passport information, participation history in similar programs, achievements, personality, career goals, and views on Japan. The applicant must sign and date the form.

Uploaded by

Annisa Rahmani
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Please check the box of your category:

Economics & Social Sciences


Science & Technology
Arts, creative works & culture

Annex 1

JENESYS 2.0 APPLICATION FORM Please paste a most


recent photo
1. Title of JENESYS Project being applied for:
ASEAN Economic Community (AEC) Youth Network

2. Expected commencement of the program:


26 May 2013 to 2 June 2013

3. Name of Participant:

Given name Middle name Family name


4. Nationality:

5. Date of Birth: Age:

6. Home Address:

7. Email:

8. Home phone number: Hand phone (if any):


9. Name of Present School:

10. Grade: Year entered:

11. Major studies:

12. Passport number: Date of Issuance:

Date of expiry:

13. Travel to Japan: Have you ever visited Japan before? Yes No

If yes, when did you visit Japan?

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14. Participation in JENESYS: Have you participated in JENESYS before?

Yes No

15. Have you participated in other scholarship/visit Japan program different from
JENESYS? If yes, please explain what the name of the program was and when it
was organized.

16. Please explain about your Achievements/Awards/Outstanding Talents/Extra-


curricular Activities:

17. Please explain briefly about your personality and what career you wish to pursue
in the future.

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18. Please explain your views and impressions about Japan and share your plans to
contribute to closer friendship between ASEAN and Japanese peoples by
participating in this program.

Date of Application: Signature of Applicant:

__________________ _______________________

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