NISSHIN COMPETITION 2021

Application Form

Thank you for registering with us.

Please paste this form on the back of your submission and send it to the submission
address. Your submission MUST ARRIVE by the submission deadline below.

※Submission Deadline: October 5th 2021, 5:00pm Japan Standard time.

Registration number: N20240

【Contact Person 】
Full name Date Of Birth
COSMIN-ANDI DUMITRU 1996/05/21
Contact Address
Sos. Garii Catelu Nr.170B, Bl.C3, Ap.4,
Bucharest / 032995
Romania
TEL
+40 762647978 [Mobile Phone]
E-mail
andi.dumitru@outlook.com
Employer or School
Politecnico di Milano
Employer or School Address
Milano
Italy

Submission Address
Nisshin Kogyo Co., Ltd.
Attn.: Design Competition Office
2F, 2-23-4 Senju-Azuma, Adachi-ku, Tokyo, 120-0025, Japan
Phone: +81-3-3882-2613

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 NISSHIN COMPETITION 2021
Application Form

Registration number: N20240

【 Member Information 】
Member 1 Name Date Of Birth
COSMIN-ANDI DUMITRU 1996/05/21
Employer or School
Politecnico di Milano

Member 2 Name Date Of Birth

Employer or School

Member 3 Name Date Of Birth

Employer or School

Member 4 Name Date Of Birth

Employer or School

Member 5 Name Date Of Birth

Employer or School

Submission Address
Nisshin Kogyo Co., Ltd.
Attn.: Design Competition Office
2F, 2-23-4 Senju-Azuma, Adachi-ku, Tokyo, 120-0025, Japan
Phone: +81-3-3882-2613