Online Application : The 19th School of Peace Studies and Conflict Transformation

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APPLICATION FORM

THE 19th SCHOOL OF PEACE STUDIES

AND CONFLICT TRANSFORMATION

“Quality is never an accident. It is always the result of intelligent effort”- John Ruskin

February 26^thOctober – 8^th November, 2019

Bangkok, Thailand

APPLICATION CLOSING DATE: 13^th October 2019

Incomplete applications will not be accepted

Applicants from those countries where there is no Royal Thai Consulate are recommended to apply early for the course as the visa process will take long time.

TO BE FILLED IN ELECTRONICALLY BY THE APPLICANT

Family Name

First name

Citizenship

Date of Birth

Age

DETAILS:

Sex

Religion (if any)

Please insert your photo here (Compulsory)

Mailing Address:

Street

City

Postal Code

Country

Mobile

Fax

E-mail (compulsory)

Passport Details:

Passport Number

Country of Birth

Country of Issuing Passport

Issue date

Expiry date

Emergency Contact:

Name

Contact Numbers

Address

Additional information:

Food preference

Please indicate if there is anything else you would like us to know about you:

EDUCATION:

Name and Location of University or Institution

Length of Studies (from-to)

Degree Obtained

Major

Name and Location of University or Institution

Length of Studies (from-to)

Degree Obtained

Major

Name and Location of University or Institution

Length of Studies (from-to)

Degree Obtained

Major

Name and Location of University or Institution

Length of Studies (from-to)

Degree Obtained

Major

Professional experience: (start with the most recent, add more cells if necessary)

Date (from MM/YY to MM/YY)

Country

Organisation – Company

Title of Position

Main Tasks (Short Description)

Date (from MM/YY to MM/YY)

Country

Organisation – Company

Title of Position

Main Tasks (Short Description)

Date (from MM/YY to MM/YY)

Country

Organisation – Company

Title of Position

Main Tasks (Short Description)

What motivates you to apply for this program? (100 Words)

What is your expectation from the course and how this program can affect your future activities and in what ways? (Not more than 100 Words)

REFERENCES:

Reference 1 (details)

Name

Organization

Relationship

IPDS/ARF/ AMAN Affiliation

Reference 2 (details):

Name

Organization

Relationship

IPDS/ARF/ AMAN Affiliation

Venue:

International Institute of Peace and Development Studies (IIPDS)*
Suwintawaong Soi 51, Soi Rom Yen 4
T. Kratumrai, Nong Chok,
Bangkok, 10530

*IIPDS is 30 km from Suvarnabhumi and 50 km from Don Mueang airport; located in a peaceful rural setting with a simple and comfortable shared accommodation.

Contact Address:

IIPDS Team
Tel: +66-020515578
E-mail: [email protected]

Declaration by the Applicant:

By submitting this “Application Form” I confirm that all the information given in this form is correct and complete.

I also confirm that I agree to the following conditions of participation:

I will not arrive late or depart early

I understand that the training institute reserves the right to exclude the participant from the course in case information given in the form proves to be incorrect (i.e. insufficient language skills) or because of misconduct at the training site.

The course in case information given in the form proves to be incorrect (i.e. insufficient language skills) or because of misconduct at the training site

I hereby certify that the information shown above is true and correct.