APPLICATION/AGREEMENT FORM

INDO-BHUTAN YOUTH SUMMIT 2018

Follow the steps very carefully, read & check the application form thoroughly before submitting:

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APPLICATION/AGREEMENT FORM

INDO-BHUTAN YOUTH SUMMIT 2018

Step 1: Download the Indo-Bhutan Youth Summit APPLICATION FORM by clicking here

Step 2: Read carefully and fill the form COMPLETELY in MS Word Format

Step 3: SEND the completed form BY EMAIL to

Step 4: Along with above application form & the recommendation letter, you also need to send 3-minute YouTube video.

Step 5: After reviewing the application form, recommendation letter and the 3-Minute YouTube video, a short-listed candidate will be called for a final interview either in-person or on Skype.

Step 6: After the final interview, successful candidate will be notified via email and telephone call.

Step 7: Successful candidates are required to submit a cheque/wire transfer of Rs. 5,000 as a refundable security deposit. Details will be shared with the selected candidates later.

Step 8: After receiving the security deposit, the selection process is completed, and participation confirmed.

* Refundable Security Deposit: Rs. 5,000 is refundable under following conditions only:

•Candidate will successfully complete the programme.

•Submit a programme report (4-page) by email in MS Word format.

Step 1: Download the Indo-Bhutan Youth Summit APPLICATION FORM by clicking here

Step 2: Read carefully and fill the form COMPLETELY in MS Word Format

Step 3: SEND the completed form BY EMAIL to

Step 4: Along with above application form & the recommendation letter, you also need to send 3-minute YouTube video.

Step 5: After reviewing the application form, recommendation letter and the 3-Minute YouTube video, a short-listed candidate will be called for a final interview either in-person or on Skype.

Step 6: After the final interview, successful candidate will be notified via email and telephone call.

Step 7: Successful candidates are required to submit a cheque/wire transfer of Rs. 5,000 as a refundable security deposit. Details will be shared with the selected candidates later.

Step 8: After receiving the security deposit, the selection process is completed and participation confirmed.

* Refundable Security Deposit: Rs. 5,000 is refundable under following conditions only:

•Candidate will successfully complete the programme.

•Submit a programme report (4-page) by email in MS Word format.

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APPLICATION/AGREEMENT FORM

INDO-BHUTAN YOUTH SUMMIT 2018

All fields below are mandatory:

Section 1: Personal Information
Name
Gender
Date of Birth (dd/mm/yyyy)
Nationality
Email
Mobile
Telephone Number
Passport Number
Passport place of issue
Passport date of issue
Passport date of expiry
Complete home address
Complete current address
Qualification/Designation
Name of the Institution
Blood Group
Serious or chronic medical conditions (if any)
Language proficiency (Start with your primary language) / Read / Write / Speak
1. / Bhutanese
2. / English
3. / Hindi
4. / Nepali
Section 2: Please mention two references (please don’t leave any blanks)
Sl. No. / Name / Email / Mobile No. / Relationship
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Section 3: Please mention two emergency contacts in your family (please don’t leave any blanks)
Sl. No. / Name / Email / Mobile No. / Relationship
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Section 5: Documents:
  1. Please insert below scanned copies of your passport

  1. Please insert below scanned copy of your Voter Card/Aadhar Card/PAN Card

Section 6: Suitability for the Programme:
  1. How did you learn about the Programme?

  1. Do you think initiatives like Indo-Bhutan Youth Summit are important? Please explain. (Maximum length: 1,000 words)

  1. How do you feel you can contribute towards an Indo-Bhutan relationships and world at large? (Maximum length: 1,000 words) (Maximum length: 1,000 words)

  1. Please insert below the link address of your 3-minute YouTube Video engaging in themes you are most passionate about or areas you would like to drive changes to make the world a better place to live(insert the YouTube link below).

  1. Please send us a letter of recommendation from your current institution/organisation(insert the scanned copy below or attach along with this application).

INFORMATION

•Programme Period: 21stto 29thSeptember 2018

•Forward Journey: Report at Bagdogra Airport (Siliguri) on 21stSeptember 2018.

•Return Journey: Leave from Bhutan on 29thSeptember 2018.

•Travel from your respective city to Bagdogra Airport and back will be arranged and covered by the organiser.

•The organiserwill cover expenses for food and lodging for the duration of the programme.

•Room allocation as per the organisation's convenience will be separate for male and female groups

•Respect and abide by all rules and regulations of the places of stay.

•Food arrangement will be fairly modest and simple.

•To carry: a few medicines and band aids for emergency; a torch; mosquito coil or repellent cream; good walking shoes and waterproof sandals / chappals are helpful for certain places and activities; an umbrella or raincoat. It will be wise to bring a sleeping bag or pair of shawls / light and portable blankets.

•You are welcome to bring along any gadgets of your choice (laptop, tablet, camera, etc.) but at your own risk. The organiser or the concerned organisations/ centres will not be responsible for any theft or damage.

•The organiser will have the right to request and, if necessary, insist that a participant—who deviates from the spirit of the programme, its code of conduct and/or engages in inappropriate behaviour—leave the programme at his/her own cost and expense without assigning any reason, forfeiting the security deposit. In extreme cases, legal action may be taken.

•The schedule is subject to change. Changes, if necessary, will be announced to the participants in advance.

•The programme organisers’ decision on all and any matters will be final and binding.

CONDUCT REQUIREMENTS

  • Participants must commit themselves to abide by the spirit of the Indo-Bhutan Youth Summit Programme, which is to listen deeply, and observe; engage in healthy discussions and respect the sensitivities of others; ask questions with humility in a genuine spirit of enquiry; enjoy and participate fully in all activities; observe courtesy and respect customs at places of worship and throughout the programme.
  • Conscientiously attend all programme sessions/events. If you cannot attend a particular session, please inform the organiser.
  • Wear the programme badge at all times.
  • Stay connected with the group and participate in the programme in a spirit of community.
  • Participants are required to follow the rules and regulations where they will stay and of the institutions where the programmes are conducted.
  • Participants are expected to be self-disciplined and requested to follow programme schedule & rules.
  • Please do not litter and create noise at your places of stay. These are sacred spaces with modest facilities and simple food.
  • Please use water judiciously.
  • In case of any unforeseen circumstances or emergencies, please inform the authorities (at the place of stay and to the organiser).
  • The organizers’ decision on all and any matters will be final and binding.

The Centre of Escalation of Peace & Royal Institute for Governance and Strategic Studies are organizing the Indo-Bhutan Youth Summit programme as a public service, on a best effort basis making all the essential arrangements through third parties and meets the costs of these. The participant agrees to be responsible for his/her own safety and security at all times and not to engage in any activity that might put them at risk. The participant agrees to reimburse the organisers and indemnify it against any legal action, claims or expenditures arising out of the personal actions and activities of the participants, especially those activities not initiated by the organisers and/or during private time. By completing and signing this form, the applicant agrees that the organisers will have no liability, financial, legal or otherwise including but not limited to or arising from any or all arrangements made by the organisers. This will cover loss or damage to personal items, accidents or illness etc. or any additional expenses incurred by the participant therein and on travel, board, lodging, medical imperative—during, after or associated with the project.

I, ______, the undersigned, hereby attest that before commencing the programme, I have read all the rules, terms and the code of conduct in detail, and am willing to abide by all of them.

If I get selected, I agree to send a cheque of Rs. 5,000 security deposit in the name of ‘Centre for Escalation of Peace’ within 15 days of such confirmation. This will be refunded within a month of successfully completing the entire programme and fulfilling all its requirements.

Date: ______Signature: ______

Please send the completed form by EMAIL to

& signed copy by COURIER to:

Indo-Bhutan Youth Summit, Centre for Escalation of Peace,

Pallavan Learning Systems,

‘A’ Centre,Opposite Delhi Public School,

Vasant Kunj, New Delhi-10070, Tel: 011 49323866

(Landmark: Kotak Mahindra Bank is at the Ground Floor)

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