NOTE: Please print in English. All materials will become the property of the NEAN 2009 Organizing Committee and will not be returned. (If you do not give your passport number or Korean identification number, you may be excluded from the Field Trip)

1. Personal Information

Photo / First Name / Middle
Initial / Last name
Place of Birth / Date Of Birth
(dd/mm/yy) / Sex
Nationality at Birth / Present
Nationality / Marital
Status
Address
Passport Number / (If you are Korean, please give your Korean identification number instead of passport number)
Mobile Phone
E-Mail
Mother
Language
Possible Languages / READING / LISTENING / WRITING / SPEAKING
Excellent
Good
Poor / Excellent Good
Poor / Excellent Good
Poor / Excellent
Good
Poor
Excellent
Good
Poor / Excellent Good
Poor / Excellent Good
Poor / Excellent
Good
Poor
Interested Field
How did you hear about NEAN 2009?

· Please e-mail your completed application form with required essay to

· If you have any questions, please contact us via e-mail to or leave a message on PKU BBS_SICA board.

NOTE: Please print in English. All materials will become the property of the NEAN 2009 Organizing Committee and will not be returned..

2. Academic Background

Give full details - Please list your academic qualification records. Give exact titles of degrees, which you completed or will complete.
Institution/country / Time Period / Title of Degree / Main course of study
Current School
Academic Year
(Choose One) / Senior / Junior / Sophomore / Freshman / Postgraduate
Academic Interests
Please List all Extra-Curricular Activities or Professional work
Institution/country / Position / Time Period
Are you interested in Northeast Asian Region? If yes, then why?

· Please e-mail your completed application form with required essay to · If you have any questions, please contact us via e-mail to or leave a message on PKU BBS_SICA board.

NOTE: Please print in English. All materials will become the property of the NEAN 2009 Organizing Committee and will not be returned.

.3. Proposed Workshop Session

Workshop
Preference / DAY 2
Politics / Economy / Special Session
(Please choose ONE) / DAY 3
Culture / Media
(Please choose ONE)
Please state clearly why you chose the session. / 1. / 2.
NOTE :
[1] Your preferences will be considered first during workshop placement, but due to administrative reasons, we cannot guarantee that you will be assigned the session of your choice. Therefore, please write your workshop choice 2 below.
DAY 2 : 2nd Workshop Choice ______
[2] Please be aware that you may not get the workshop of your choice for DAY 3.
Please understand that this is to maintain an equal balance of 100 delegates per session.
We will try our best to allocate the session you have chosen.

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