Registration Form

Registration Form

JAPAN CULTURAL CAMP BY ASEAN YOUTH FRIENDSHIP NETWORK
Chosen camp*

Autumn Japan Cultural Camp 2017 (4 - 9 December 2017)
Full name*
Shown on the passport
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Mobile phone number*
connected to whatapps
E-mail*
Gender*

MaleFemaleOther
Nationality*
Have you been to Japan?*
Please upload your color photo. Max size : 250 KB*

Upload a File

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Please upload your scanned passport or KTP or IC*

Upload a File

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Could you please tell us about yourself (your activities, your affiliation/your school, your hobby, family, etc)*
Why would you like to take part at our Japan camp?*
This program is SELF FUNDED camp. It means that you must pay all required cost (Program fee and travel expense to and from Japan, and other expenses). So, who will financially support you to take part at this camp? Program fee is USD 650 (exclude flight and Visa)*
Yes, I understand that I have to pay the program fee of Japan Camp by AYFN after getting confirmation from AYFN and in order to reserve the slot. By click this, I agree to obey all rules which will be implemented in this camp.*

Agreement
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