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ASEAN YOUTH VOLUNTEER PROGRAMME (AYVP)Inaugural Programme for the Development of ASEAN Youth Eco-LeadersthroughVolunteerism & Community Engagement| | Application Form
1.0 PERSONAL DETAILS
Name| |
Date of birth| |
Age| |
Nationality | |
Identification /No. Passport| |
Occupation| |
Address| |
| |
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Gender| |
Religion | |
Telephone Number | Home : H/P : Office : Fax : | Email | |
Institution /Organization| |

2.0 NEXT OF KIN & MEDICAL HISTORY

2.1 WHO SHOULD WE CONTACT IF YOU ARE TAKEN ILL WHILST VOLUNTEERING? * Name| |
Relationship (*Mother/Father/Guardian/Spouse)| |
Telephone Number | Home : H/P : Office : Fax :| Email Address | |

2.2 TO HELP US ENSURE YOUR SAFETY AND ASSIGN YOU TO A SAFE AND APPROPRIATE TASK, PLEASE PROVIDE THE INFORMATION BELOW (IF RELEVANT):
• Medication that you are taking that a First Aider or Doctor would need to be aware of? • Activity you may find difficult to carry out for health or other reasons? • Other information we may need to know to ensure your safety e.g. hearing or vision difficulties, ability to communicate or understand instructions etc.

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3.0 ACADEMIC QUALIFICATIONS
Highest academic qualification achieved (*Please include copy of each certificate obtained.) Qualification| Year| Certificate|
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4.0 ENGLISH LANGUAGE QUALIFICATION(S)
4.1 Is English your first language?YES NO

4.2 Please provide details of your English language qualifications with results obtained and the date you took the test or will be...