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Model ASEM Conference, Le Havre, France, 10 - 14 November 2009

Application Form - Applicant 1

Please make sure that you complete all the fields marked *.

Personal Information
  
   Surname *
   Name *
   Nationality *
   Date of Birth *
   Dietary restrictions or allergies
   (please specify)
Contact Details
  
   Address - Street *
   Address - ZIP Code *
   Address - City *
   Address - Country *
   Email *
   Phone number *
Academic Information
  
   School *
   City
Letter of motivation
  
   Please outline your main reasons
   for applying for Model ASEM and
   your interest in the ASEM process
   (no longer than 300 words). *
CV or resume
  
   Please attach a copy of
   your CV or resume *