for Training Course “Euro-Asi”, March to December 2015 in Denpasar, Bali.
The contact details you provide us below will be used for all correspondence![label]Full name (as on your passport)[/label] [input name=sql_full_name required=true] [label]Place of Birth[/label] [input name=sql_place of birth required=true] [label]Date of birth (DD/MM/YYYY)[/label] [input name=sql_dob required=true] [label]Gender[/label] [select name=sql_gender required=true options=Please_choose;Male;Female] [label]Address[/label] [input name=sql_home_address required=true] [label]Post code[/label] [input name=sql_home_postcode required=true] [label]City[/label] [input name=sql_city required=true] [label]Country[/label] [input name=sql_country required=true] [label]Phone
Please mention all languages in which you are able to work and indicate your level for each of it (B-basic, G-good, VG-very good, F-fluent, MT-mother tongue)
Please note that working language for this course will be English.[textarea name=sql_language_abilities required=true close=false]
(E.g. mobility, medical needs, allergies, dietary restrictions, smoker/non-smoker)[textarea name=sql_special_needs required=false close=false]
What are the objectives, main activities and target group of your organization?[textarea name=sql_organization_description required=false close=false]
What is your personal/professional experience in relation with the topics of the training course ?[textarea name=sql_subject-to-learn required=true close=false]
(approximately 4-6 sentences).
Thank you for your submitted application for Act Global Training Course.
Our team will contact you shortly if you are selected to attend this training course.[/send_confirmation] [/db_form]