Escolar Documentos
Profissional Documentos
Cultura Documentos
Name/designation of nominator:
Email:
Home Address:
Name of university/school
Faculty / Course /
Year of Study:
Page 1
Religion:
Food Forbidden on
Religious Grounds, etc.:
Hobbies/Areas of Interest:
Name of Next-of-kin/
Relationship:
Address of Next-of-kin:
Contact No.
Home Tel: Office Tel: Mobile:
of Next-of-kin:
(with country and area
code)
Email:
Do you have any medical * Yes / No. If yes, please state details:
allergies or conditions?
2. What contribution can you make (as youth) regarding Sustainable Development Goals (SDGs) and its related
issues in your country after attending the Workshop? Please briefly explain your ideas.
--------------------------------- ------------------------------------------
Page 2