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General information

First name Date of Birth Year 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 Month 1 2 3 4 5 6 7 8 9 10 11 12 Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Last name   Male Female

I have   EURO<26 Classical Card Card nr: NPNK EURO<26 Youth Card Card nr: NPNK EURO<26 Student Card Card nr: Other/Specify   Card nr:

E-mail Country of residence Phone City/County Citizenship Street/Village   House

Other info

Occupation Student Pupil Working Searching for job Other Languages Skill level English 1 2 3 4 5 Add new language 1 2 3 4 5 1 2 3 4 5

Specify ( which school or university/department/profession )

Some questions

Interests, hobbies

Special needs (for example related to health or food)

Describe yourself and your motivation to take part in this international project

What is your previous international experience? (travelling/ youth camps etc)

What you you expect to get from this experience?

Where did you get the info about this EURO<26 project?

Please add me to EURO<26 mailinglist

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