APPLICATION FORM

The 02nd Young Scholar’s Conference

23-24 September, 2017

Asian Studies in a Globalized World: Building Bridges across the Divide

Submission of Abstract due July15th, 2017

Submission of Full Paper due August 20th, 2017

(Applicants from those countries where there is no Royal Thai Consulate are recommended to apply early for the course, as the visa processing will take longer time)

Application Instructions

  • Peace and development workers from NGOs, faith based organizations, peace and human rights activists, youth leaders, researchers, journalists, young scholars and development professionals who are active in peace studies or peace building programs are encouraged to apply for this program.
  • Proficiency in English is required. Academic lectures, discussions and role plays are conducted in English.

Application ProcessandABSTARCT submission

Completed application form should and abstract be sent to: with email subject:

*Name of applicant* – Application form – Young Scholar Conference

Registration

  • Course Fee: 100 USD

The course fee covers local transportation, accommodation and foods. Organizer does NOT provide Airfare and Visa Expenses

Venue

International Institute of Peace and Development Studies (IIPDS)*

SuwintawaongSoi 51, Soi Rom Yen 4

T. Kratumrai, NongChok,

Bangkok, 1053

* IIPDS is 30 km from Suvarnabhumi and 50 km from Don Mueang airport; located in a peaceful rural setting with a simple and comfortable shared accommodation.

Contact

IIPDS Team

Tel: +66-020515578

Cell no: 66-632429468

E-mail:

APPLICATION CLOSE DATE

Submission of Abstract due July15th, 2017

Submission of Full Paper due August 20th, 2017

Incomplete applications will not be accepted

Applicants from those countries where there is no Royal Thai Consulate are recommended to apply early for the course as the visa process will take long time

TO BE FILLED IN ELECTRONICALLY BY THE APPLICANT

1 / Family Name / 3 / Citizenship
2 / First name / 4 / Date of Birth / (dd/mm/yyyy) / Age

Personal Details

5 / Sex / Insert your photograph here!
(Compulsory)
6 / Religion (if any)
7 / Mailing Address
7.1 / Street
7.2 / Postal Code + City
7.3 / Country
8 / Telephone
8.1 / Mobile
8.2 / Fax
9 / E-mail (compulsory)
10 / Passport Details
10.1 / Passport Number
10.2 / Country of Birth
10.3 / Country of Issuing Passport
10.4 / Issue date
10.5 / Expiry date
11 / Emergency Contact
11.1 / Name
11.2 / Address
11.3 / Contact Numbers
12 / Additional information
12.1 / Food preference
12.2 / Please indicate if there is anything else you would like us to know about you:

Higher Education

13 / Name and Location of University or Institution / Length of Studies
(From-to) / Degree Obtained / Major
13.1
13.2
13.3

Professional Experience (starting with most recent – please give details)

14 / Date
(from mm/yy to mm/yy) / Country / Organisation – Company / Title of Position / Main Tasks
(Short Description)
14.1
14.2
14.3

REFERENCES

17 / Reference 1 (details) / Reference 2 (details)
Name / Name
Organization / Organization
Relationship / Relationship
Email / Email
IPDS/ARF/
AMAN Affiliation / IIPDS/ARF/
AMAN Affiliation

Declaration of the Applicant:

By submitting this “Application Form” I confirm that all the information given in this form is correct and complete. I also confirm that I agree to the following conditions of participation:

I am motivated, willing and available to engage in civilian peace-keeping and peace building activities

I will not arrive late or depart early

I understand that the training institute reserves the right to exclude the participant from the course in case information given in the form proves to be incorrect (i.e. insufficient language skills) or because of misconduct at the training site.

Participants should respect all nationalities, diversity, ethnicity, race, religion etc

I hereby certify that the information shown above is true and correct

Signature of the Applicant: Date:

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