ASEM Youth Dialogue 2008

Second Asia-Europe Youth Interfaith Dialogue

Bandung, West Java, Indonesia

23rd – 27th June 2008

PARTICIPANT APPLICATION FORM

Kindly complete this form and send by email to MsPilar Domingo Vargas atby or beforethe 25th May 2008. Please do not make any arrangements until you have received official confirmation from the organisers!
Personal Details
Title / Please select one: Prof Dr Mr Mrs Ms
First name
Middle name
Last name
Nationality
Date of birth
Place of birth
Email
Alternative email
Mobile phone
(optional)

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The members of the ASEM (The Asia-Europe Meeting) Process are the following: Austria, Belgium, Brunei Darussalam, Bulgaria, Cambodia, China, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Indonesia, India, Ireland, Italy, Japan, Korea, Laos, Latvia, Lithuania, Luxembourg, Malaysia, Malta, Mongolia, Myanmar, Netherlands, Pakistan, Philippines, Poland, Portugal, Romania, Singapore, Slovakia, Slovenia, Spain, Sweden, Thailand, United Kingdom, Vietnam,the European Commission and the ASEAN Secretariat.

Organisation / Institution Represented
Your Position
Details of the organisation / institution / Name
Street
City
Postal Code
Country
Phone
Fax
Email
Please give a brief description of your organisation / institution. You may also append further information if necessary.
Previous experience
What international and/or Interfaith Youth activities have you been involved in? Please describe.
Motivation and Expectations
What is your motivation to join this Dialogue?
What do you expect as a result of your participation in this Dialogue?
What could be your contribution to this event?
Follow-up
How do you plan to use the results of this Dialogue?
Accommodation and Meals
The organisers shall cover amaximum offour(4) nights stay, checking in23rd Juneand checking out27th June 2008, at a designated hotel (details shall be furnished in due course).Participants arriving earlier or preferring to stay for additional nights at the hotel may do so at their own expense.
Meals during the official training course dates, from the 24th to the26th June2008 (including dinner on the arrival day, the 23rd June, and breakfast on the departure day, the 27th June) have been arranged and will be covered by the organisers.
Requires special diet. Please specify: / No dietary requirement
Additional Information
Any special requirements. Please specify:
Please use the space below to inform organisers about any other important and relevant fact regarding your participation in the Dialogue:
IMPORTANT NOTE: Kindly include the following when submitting your application:
 Most recent curriculum vitae and a brief biographical note
Recent Photo (in jpg or bmp format)
We look very much forward to your prompt reply.
For general information, please contactMs Pilar Domingo Vargas at