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  • Registration Form ICOFA 2011

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    namakujane
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    This document is a registration form for The International Cooperative Fair 2011. It requests basic information such as name, nickname, sex, faculty/university, country, contact information, as well as additional details on special requirements, diet, and motivation and expectations for attending the event. The form notes that completed registrations must include a color photo, copy of ID, and permission letter from the delegate's university.

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    This document is a registration form for The International Cooperative Fair 2011. It requests basic information such as name, nickname, sex, faculty/university, country, contact information, as well as additional details on special requirements, diet, and motivation and expectations for attending the event. The form notes that completed registrations must include a color photo, copy of ID, and permission letter from the delegate's university.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    40 views3 pages

    Registration Form ICOFA 2011

    Uploaded by

    namakujane
    This document is a registration form for The International Cooperative Fair 2011. It requests basic information such as name, nickname, sex, faculty/university, country, contact information, as well as additional details on special requirements, diet, and motivation and expectations for attending the event. The form notes that completed registrations must include a color photo, copy of ID, and permission letter from the delegate's university.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    of 3

    Registration Form of

    The INTERNATIONAL COOPERATIVE FAIR 2011

    Sign up for:*
    □ International Delegate
    □ Indonesian Delegate
    *) Bold the letters

    BASIC INFORMATION
    Full Name : ……………………………..
    ……………………………..

    Nickname : ……………………………..
    ……………………………..

    Sex : ……………………………..
    ……………………………..

    Faculty/University : ……………………………..
    ……………………………..

    Country : ……………………………..
    ……………………………..

    Mobile Number : ……………………………..


    ……………………………..

    Email address : ……………………………..


    ……………………………..

    Organization* : ……………………………..
    ……………………………..

    Position in Organization* : ……………………………..


    ……………………………..

    *conditionally
    ADDITIONAL INFORMATION

    Special Requirement : ……………………………..


    ……………………………..

    (Dietary, allergic, others)

    Are you vegetarian (yes or no): ……………………………..


    ……………………………..

    MOTIVATION & EXPECTATION

    What is your motivation to join The INTERNATIONAL COOPERATIVE


    FAIR 2011?

    ........................................................................................................................
    ...............

    ........................................................................................................................
    ...............

    ........................................................................................................................
    ...............

    ........................................................................................................................
    ...............

    What are your expectations for this event?

    ........................................................................................................................
    ...............

    ........................................................................................................................
    ...............

    ........................................................................................................................
    ..............
    Each form registration must include :
    1. 3x4 color photograph

    2. A copy of the delegate’s identity card/ passport/ student card

    3. Permission letter from faculties or department of delegate’s university /


    school

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