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【Entry Form】 ASEAN-Japan Students Conference.xlsx - Sheet1

This document is an entry form for the JENESYS2023 ASEAN-Japan Students Conference. Applicants must choose their first and second choice themes from among Climate Change and Disaster Prevention, Tourism Development, Startups, Population Problem, and Internet and AI. The form then requests the applicant's personal information including name, date of birth, nationality, gender, religion, passport information, address, email, school, major, and health condition. It also asks about the applicant's previous experiences with Japan including visits, Japanese language study, and participation in JENESYS online programs. Finally, it requests information on the applicant's hobbies, prizes or awards, and social activities.

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Mizter'Lar Intavanh
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37 views2 pages

【Entry Form】 ASEAN-Japan Students Conference.xlsx - Sheet1

This document is an entry form for the JENESYS2023 ASEAN-Japan Students Conference. Applicants must choose their first and second choice themes from among Climate Change and Disaster Prevention, Tourism Development, Startups, Population Problem, and Internet and AI. The form then requests the applicant's personal information including name, date of birth, nationality, gender, religion, passport information, address, email, school, major, and health condition. It also asks about the applicant's previous experiences with Japan including visits, Japanese language study, and participation in JENESYS online programs. Finally, it requests information on the applicant's hobbies, prizes or awards, and social activities.

Uploaded by

Mizter'Lar Intavanh
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Entry Form

JENESYS2023 ASEAN-Japan Students Conference


※ Choose one from the 5 themes as follows;
【1st Choice】
□ Climate Change and Disaster Prevention □ Tourism Development
□ Startups □ Population Problem □ Internet and AI
【2nd Choice】
□ Climate Change and Disaster Prevention □ Tourism Development
□ Startups □ Population Problem □ Internet and AI

1 Personal Information
Full Name (Exactly the same as your Passport)
English

Name
Full Name (in Mother Language)
Lao

Day/Month/Year
Date of Birth Age
/ /

Nationality Gender Religion

Date of Issue Date of Expiry


Number
Passport Day/Month/Year Day/Month/Year
(If you have)
/ / / /

Address ：

Current Address Tel/Mobile phone ：

E-mail ：

Name of School:
School
Major: School Year：

□ Good □ I have been diagnosed (Name of disease: )


Health Condition
□ Having chronic disease (Name of disease: )

2. Experiences related to Japan

① Have you been to Japan before? YES NO → If "Yes" When and for What?

② Are you a learner of Japanese language? YES NO → If "Yes" How Many Years ?

③ Have you ever joined JENESYS Online


program? YES NO → If "Yes" which program have you joined?

3. Personal Activities

Hobbies/Favorites
Prizes/Awards
(Sports or Academic, if any)

Social Activities

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