COP YOUTH IN NSS MISSIONS
2022/2023 NSS PERSONNEL FORMS
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电子邮件地址 *
NAME: *
DATE OF BIRTH *
年
/
月
/
日
GENDER *
必填
HOME TOWN *
LANGUAGES SPOKEN *
SECTOR *
INSTITUITON *
PROGRAM OF STUDY *
AREA *
COP DISTRICT *
LOCAL ASSEMBLY *
EMAIL ADDRESS
RESIDENTIAL ADDRESS *
WHATSAPP PHONE NUMBER *
WHAT LEADERSHIP ROLE DID YOU PLAY ON CAMPUS, FILL IF ANY
WHO TO CONTACT IN CASE OF EMERGENCY *
Name:
WHO TO CONTACT IN CASE OF EMERGENCY *
Phone Number(s) :
WHO TO CONTACT IN CASE OF EMERGENCY *
Residential Address:
DO YOU HAVE ANY HEALTH CONCERNS *
必填
NSS PIN *
NSS NUMBER *
REGIONS OF CHOICE (Select 2 of them)
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