WSCF Form

NOMINATION FORM
Ecological Concern Program
19-26 October, 2001
Pu-Li Camp, Taiwan

Name

Date of Birth				P
	( D D / M M / Y Y )			H
Correspondence				O
Address				T
				O

Contact	Telephone	(	)
	Fax	(	)
	E-mail
Occupation	Student


		major	Year	University


	Others
		Nature of work	Employer
SCM Position

Brief description of involvement and activities





Nominated by			Signature


Endorsed by
SCM Chop


Submitted To	World Student Christian Federation, A-P Region
	Unit 1-2, 18/F, 280 Portland Commercial Building
	Mongkok, Kowloon, Hong Kong
	Tel : (852)23852550 Fax : (852)27823980
	E-mail : wscfap@asiaonline.net
Deadline