Presidency WWOS

Version: SRA 01-001 SUR

FORMAT NEW STUDENT REGISTRATION APPLICATION

PERSONAL INFORMATION

Full Name(s):______________________________________________________________________________
Last Name(s):_____________________________________________________________________________
ID:______________________

Date of Birth: ____/____/______(day/month/year)

Place of Birth:________________

*Nationality(ies):______________,______________,______________

Home Phone Number (optional): (

) ________________ Phone Number: (

) ______________________

Primary E-mail: _____________________________________________________
Secondary E-mail: ___________________________________________________
*Note: Linking first main nationality in case you have several.

ACADEMIC INFORMATION

Type of Student:

School

Collegiate

Universitary

Technician/Technologist

Graduate:

Diplomaed

Mastery

Specialization

Doctorate

**Comprehensive studies: YES

NO

** Should indicate “NO” signal the final level of training or reached or current semester.
Level of training or degree (School and/or Collegiate):
1

2

3

4

5

6

7

8

9

10

11

12

13

Academic level or semester (Degree, Technical/Technologist and/or graduate):
1

2

3

1

4

5

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Firm, toward Victory!

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Presidency WWOS

Version: SRA 01-001 SUR

Participation and/or representation on groups, organizations and official student associations (NGO’s are
included for educational pusposes).
Name of Group/Organization/Student Association: ___________________________________________________
Residence Time: _______(indicate in months or years)
Active Member: YES

NO

Should indicate “NO” briefly indicate the reason for withdrawal:
________________________________________________________________________________________________
________________________________________________________________________________________________
Name of Group/Organization/Student Association: ___________________________________________________
Residence Time: _______(indicate in months or years)
Active Member: YES

NO

Should indicate “NO” briefly indicate the reason for withdrawal:
________________________________________________________________________________________________
________________________________________________________________________________________________
Participation in other Groups/Asociations/Guilds/Academic Organizations, research and/or observation (NGO’s
NOT just academic groups or government educational institutions):
Relate the following groups:
Name of Group/Organization/Student Association: ___________________________________________________
Residence Time: _______(indicate in months or years)
Active Member: YES

NO

Should indicate “NO” briefly indicate the reason for withdrawal:
________________________________________________________________________________________________
________________________________________________________________________________________________
Name of Group/Organization/Student Association: ___________________________________________________
Residence Time: _______(indicate in months or years)
Active Member: YES

NO

Should indicate “NO” briefly indicate the reason for withdrawal:
________________________________________________________________________________________________
________________________________________________________________________________________________

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Firm, toward Victory!

Presidency WWOS

Version: SRA 01-001 SUR

Experience in process and participation in student activities:
Academic Projects:
1._____________________________________________________________________________
2. _____________________________________________________________________________
3. _____________________________________________________________________________
4. _____________________________________________________________________________

How have you informed about our organization?

Student

Teaching

Website

International Representative

Pleade check your personal details and email to avoid errors in our database.
Thank you very much for submitting your request, we will be processing it within a maximum of eight (8) calendar days
after receipt.

______________________________
Signature of Applicant
ID:___________________

PLEASE PRINT THE DOCUMENT, FULLY FILL, SCAN AND SEND MAIL TO: wwos.org@gmail.com

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Firm, toward Victory!

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