CLTP13 Application Form

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The 13th CanSat / CubeSat Leader Training Program

Date : August 19 - 29, 2024

Venue : Nihon University, Chiba, Japan (T.B.C.)

Please fill in the following fields to apply CLTP13.

(*We will inform you the drive link to submit your requirement documents when you submit this form. )

Contact : secretariat@cltp.info

Email *

First Name *

Middle Name

Family Name *

Gender *

Male

Female

Other:

Nationality *

Date of Birth *

YYYY

You are a *

Student

Professional (Academic)

Professional (Corporate)

Other:

Job Title

Affiliation *

Work Address *

If you are a student, please write your university's address.

Home Address *

Work Phone Number

Please write the phone number with your country code. (Ex. 81358006645)

Mobile Phone Number *

Please write the phone number with your country code. (Ex. 81358006645)

Home Phone Number

Please write the phone number with your country code. (Ex. 81358006645)

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