
Vet 2011 Student
Event ,Ankara Turkey
"Beyond the Education"
September 3rd-11th,
2011
Application Form
Important information
below, please read thoroughly before applying;
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- We have limited place fort his event.
- The Event will be 150€ and it includes most meals, entrance fees to places
of interest, accomodation and transportation for each delagete during the Event.
- Once you have completed this Application Form, please save it.
- Delegates will be chosen on "First served-First fee come" principle,
theherefore we encourage you to apply as early as possible. However, do not apply
before application period starts, as applications filed too early will NOT be considered
- When we have received and approvedyour application, you will be notified, at least
on June 30th by our application officers.The Payment details will be e-mailed to
you at this time.Please do not buy plane tickets before you have received an offical
Acceptance Letter!!!
- Please be aware that we cannot offer you accomodation if you arrive before the
Event starts, or after the Event ends.
- You must have valid medical insurance for the duration of the Event, and you will
be asked to send ys documentation that you have adequate medical insurance.
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All offical delegates will be asked to participate in all sections and
activities scheduled during the Event, and are expected to act professionally
and respectfully towards our faculty members, sponsors and each other.
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Application Form
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Personal Information
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First Name:
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 | must be filled |
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Last Name:
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 | must be filled |
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Preferred name/nick name for name tag:
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Date of birth (dd/mm/yy):
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| 22 | 30 | 31 | 1 | 2 | 3 | 4 | 5 |
| 23 | 6 | 7 | 8 | 9 | 10 | 11 | 12 |
| 24 | 13 | 14 | 15 | 16 | 17 | 18 | 19 |
| 25 | 20 | 21 | 22 | 23 | 24 | 25 | 26 |
| 26 | 27 | 28 | 29 | 30 | 1 | 2 | 3 |
| 27 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
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| Oca | Şub | Mar | Nis |
| May | Haz | Tem | Ağu |
| Eyl | Eki | Kas | Ara |
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Sex:
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Nationality:
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Legal Residence:
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Passport Number:
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Contact Details
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Address:
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City:
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State/Province:
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Zip/Postal code:
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Country:
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E-mail:
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Phone (including country and/or area code):
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IVSA Chapter Info
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IVSA Chapter name:
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University/Faculty:
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Address of University:
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City:
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State/Province:
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Zip/Postal code:
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Country:
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Position at your IVSA chapter:
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Event Specific Information
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Specific dietary requirements:
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If vegetarian, do you eat fish, eggs, poultry or dairy:
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Other (please specify):
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Food allergies, please specify:
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Medical information:
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Any chronic/diagnosed disease:
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Allergy to any medications:
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Other special medical needs:
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Emergency Contact Information:
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Name on Contact Person:
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Association to Delegate:
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Telephone number:
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E-mail address:
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T-shirt size:
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