[2017 APPLICATION FORM] EDS - ILF

Role Of Youth For A Better

World

2017 Application Form

English Debating Society ILF
Subject on email : Payment Code Only

EDS - ILF

Please submit this form to email: edsilf.umm01@gmail.com BEFORE SEPT 18. EDS
ILF Support Environmental Friendly behavior YOU DO NOT HAVE TO PRINT THIS
FORM
 [2017 APPLICATION FORM] EDS - ILF

First Name :
Middle Name :
Last/Family Name :
Date of Birth (DD/MM/YEAR) :
Preferred Name to addressed :
Place of Birth :
Year of Enrolment :
Major :
Former School :

Current Address :
Permanent Address (fill blank if the same with :
current)
Mobile 1 :
Mobile 2 (if any) :
Instagram account: Lineaccount :

How Do You Know About Us (EDS-ILF) :

Social
Presentation Media,
Poster Flyer Banner Friend
Session mention:

Organizational Experience(s):

Relevant Achievement(s):

Please submit this form to email: edsilf.umm01@gmail.com BEFORE SEPT 18. EDS
ILF Support Environmental Friendly behavior YOU DO NOT HAVE TO PRINT THIS
FORM
 [2017 APPLICATION FORM] EDS - ILF

Write down your answer on the provided box below :

Explain your opinion about the role of youth for the better future. Max 250 words

(jelasin menurut kalian sendiri)

.
Do you believe in Equal Rights? Max.250 words

(jelasin menurut kalian sendiri)

How should we practice Freedom of Speech on a daily basis: Max 250 words

(jelasin menurut kalian sendiri)

Declaration: I hereby declare that the details furnished above are true and correct to the best
of my knowledge and belief, and I undertake to inform you of any changes therein, immediately.
In case any of the above information is found to be false or untrue or misleading or
misrepresenting, I am aware that I may be disqualified from the application process. I hereby
authorize sharing of the information furnished on this form with the English Debating Society
International Language Forum, UMM. I further committed the above Society to follow ongoing
process of the acceptance to my application until decided otherwise

Please submit this form to email: edsilf.umm01@gmail.com BEFORE SEP 18

 [2017 APPLICATION FORM] EDS - ILF

Date:
Hand Signature

(Name)

Please submit this form to email: edsilf.umm01@gmail.com BEFORE SEP 18