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Application form

ASEAN Young Writers Award


Category: Short Story
May 1 June 30, 2014
Title
Name-Surname
Current Address
Pseudony
m
( if
available
)

Date of
Birth

Ag
e

ID
Passport

Nationali
ty

Educational
Institution

Year/Clas
s
Occupatio
n

Work
Place

The Office of the ASEAN Young Writers Award
Secretariat
23/15 Soi Ruamrudee, Ploenchit Road, Lumpini, Pathumwan, Bangkok
10330, Thailand
Tel. +66 (0) 2254 6895-7 Ext. 59 Fax +66 (0) 2255 4468
email: aseanyoungwriters@gmail.com www.aseanyoungwriters.com
www.facebook.com/aseanyoungwritersaward
Cit
y

Stat
e

Zip
Code
Te
l

Mobile
phone

E-mail
address
Past
Work/Honours

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