Chengdu WeGO Asia Regional Office Smart City & e-Government Training Program

Chengdu WeGO Asia Regional Office Smart City & e-Government Training Program

Please complete the form below to apply for the workshop.

Personal Information
Full Name*

First NameLast NameSuffix
Birth Date*

MonthDayYear
Date
Nationality (Citizenship)*
Marital Status*

MarriedSingle
Gender*

MaleFemale
Dietary Restrictions
Business Email Address*
Personal Email Address
example@example.com
Office Phone No.

Country CodeArea CodePhone Number
Mobile Phone No. *

Country CodeArea CodePhone Number
Headshot Photo*

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Do you need a visa to China?*

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Emergency Contact Information
Emergency Contact Name *
Relationship *
Emergency Contact Mobile Phone No.*

Area CodePhone Number
Emergency Contact Email Address *
example@example.com

Career & Qualifications
City/Organization*
Department/Division*
Job Title*
Describe your duties/ responsibilities*

Educational background*

	Year / Year	Institution	City, Country	Degree	Major/Area
1
2
3

Career background*

	Year / Year	Organization	Position	Main duties
1
2
3

Overseas training received within the last five years

	Year / Year	Institution	City, Country	Area
1
2
3

English Proficiency*
English is the official language for the workshop and lack of English proficiency can result in declining the application
Mother Tongue & Other Languages

Training Program Related Questions
What are your goals for this training program? *
How will your participation benefit your career and/or your company/organization?
Which particular themes of smart city would you be especially interested in at the training program?
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