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| NOMINATION
FORM |
| Human Rights & Solidarity
Workshop |
| 17-23 September, 2000 |
| Jakarta, Indonesia |
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| Date of Birth |
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( D D /
M M / Y Y
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| Correspondence |
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| Contact |
Telephone |
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Fax |
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E-mail |
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| Occupation |
Student |
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major |
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University |
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Others |
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Nature of work |
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Employer |
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| SCM Position |
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| Brief
description of involvement and activities |
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| Nominated by |
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Signature |
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| Endorsed
by |
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| SCM Chop |
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| Submitted
To |
World Student Christian Federation,
A-P Region |
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Unit 1-2, 18/F, 280 Portland
Commercial Building |
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Mongkok, Kowloon, Hong Kong |
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Tel : (852)23852550 Fax : (852)27823980 |
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E-mail :
wscfap@asiaonline.net |
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| SCMA Deadline |
28 July |
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NOTES
- Do not attach a photo at this stage.
- Do not send this to WSCF-AP in Hong Kong, send it to the SCMA National
Office.
- Direct any and all enquiries to the National Office
- Do not fill in the "Nominated by" field.
- Please also fill in the SCMA Application Form
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