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    Anugrah Fadreny Zab
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    The document is a registration form for a youth exchange program selection between Australia, Malaysia, and South Korea in 2011. It requests information such as the applicant's name, address, education background, overseas experience, skills, and motivation for joining the program. Applicants must submit the form along with 2 photos by March 27th, 2011 to the provincial Dispora office or SMP Al Azhar middle school.

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    registration form PPAN 2011

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    The document is a registration form for a youth exchange program selection between Australia, Malaysia, and South Korea in 2011. It requests information such as the applicant's name, address, education background, overseas experience, skills, and motivation for joining the program. Applicants must submit the form along with 2 photos by March 27th, 2011 to the provincial Dispora office or SMP Al Azhar middle school.

    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
    157 views1 page

    Registration Form

    Uploaded by

    Anugrah Fadreny Zab
    The document is a registration form for a youth exchange program selection between Australia, Malaysia, and South Korea in 2011. It requests information such as the applicant's name, address, education background, overseas experience, skills, and motivation for joining the program. Applicants must submit the form along with 2 photos by March 27th, 2011 to the provincial Dispora office or SMP Al Azhar middle school.

    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 1

    FORMULIR PENDAFTARAN

    SELEKSI PERTUKARAN PEMUDA ANTAR NEGARA


    AUSTRALIA,MALAYSIA,KORSEL 2011
    SEKRETARIAT : JL. TG.MALAKOSA NO.16 SMP AL-AZHAR PALU. TELP.085241167333
    ppan_pcmisulteng@group.yahoo.com/pcmi_sulteng@yahoo.com/Email :pcmi_sulteng@yahoo.com

    Name : Place/Date Of Birth :

    Address : Other Address :

    Email :

    Facebook :

    Occupation : Organizational Experiences :

    Educational Background :

    Abroad Experience : Indicate your motivation to join the program

    Others Skill and Talent :

    I certify that the statements made by me in answer to the above questions are true, complete and accurate to the best of
    my knowledge and I declare myself as one of the participants of Youth Exchange Program Selection.

    Palu, March 2011

    NB : - Pictures : 3 x 4 = 2 Lbr.

    - End Date of Submission : 27th March, 2011

    - Place of Submission : Dispora Propinsi / SMP Al Azhar.

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