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2009 PRESIDENTIAL CLASSROOM FUTURE WORLD LEADERS SUMMIT APPLICATION
Personal Details :
Name Of Student*
Postal Address
State/Province
Home Tel Number*
E-mail*
Passport Number
Date of Birth D M Y
Sex
Country of Birth
Citizenship
Fluency of English
   
Achievements :  
List your top 3 recent school academic achievements
List your top 3 recent community or civic achievements
List your top 3 recent sports achievements
   
School Information:  
Name of School
Postal Address
Tel Number
Fax Number
Email address
School Contact person/Class Teacher
   
Family Information
Name of Father
Office Tel Number
Title/Profession
Name of Company
   
 
   
*This information is needed to help us to personalise our reply according to your needs.