ASEAN-Korea_Muhammad Faris Ihsan
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Transcript of ASEAN-Korea_Muhammad Faris Ihsan
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The 16th ASEAN-Korea Future-OrientedYouth Exchange Programme: ASEAN-Korea Youth Square Seoul & Gangwon-do, Korea / 5 to 10 February 2015
Please complete this form based on your passport. (The title of e-mail should be 'ASEAN-Korea_name of participant')
Personal Information
First Name:MuhammadPHOTO HERE
Last Name:Ihsan
Full Name (with Middle Initial):Muhammad Faris Ihsan
Gender (Female/Male):Male
Nationality as shown on passport:Indonesia
Year of Birth (YYYY-MM-DD):29/08/1994
Passport Number:A 4806697
- Date of Expiry:5/2/18
Religion:Islam
Contact Information
Current Address:Bumi Jatiwaringin Street Area G Number 3 City:Bekasi
Country of residence:Indonesia
Contact e-mail:[email protected]
Telephone with country code (e.g. 82-2-000-000):62-21-8461729
Mobile with country code:62-85710004453
Additional Information
Name of your latest school (or work) :42 Senior High School
English proficiency (Advanced/Native):Advanced
Preferred t-shirt size L
Special Requests & Medical Conditions
Prohibited food(s):-
Allergies to (food, medicine, plant, and etc):-
If you are on special medication, let us know:-
Why should you be selected ?Because I have an idea which might be alternative solution of national problems, such as professor teaches children in elementeary school ,character building and nation with fun learning in elementary and junior high school. So with several of idea I want to share and discuss with other young people of the world ,to change our world more beautifull of inovation idea and creation from young people.
mailto:[email protected]