8/3/2019 WYD2011 APP Form to ECY Philippines
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WORLD YOUTH DAY 2011INDIVIDUAL APPLICATION FORM FOR MEMBERSHIP
TO THE ECY-PHILIPPINES
EPISCOPAL COMMISSION ON YOUTHCATHOLIC BISHOPS CONFERENCE OF THE
PHILIPPINES
National Secretariat for Youth Apostolate, 3/F CBCP Building,
470 General Luna Street, Intramuros, ManilaTelephone: 02 5279567
Telefax: 025279566 Email Address for WYD2011:
[email protected]
INSTRUCTIONS IN ACCOMPLISHING THIS FORM
Read and understand the primer ECY & WYD2011 before
accomplishing this form. The primer is available at theyouth
ministry offices of the dioceses and FNYO-member organizations or
at the NSYA office.
Accomplish legibly, i.e. typewritten or in block letters.
Submit in three copies together with complete requirements (see
ECY&WYD2011 pages 6-8) to the ECY-NSYA.
Deadline of Submission is on 31 January 2011. Application
No.
Origin/Setting (diocese, organization, school, community) Name
of Sub-Group
A. PASSPORT DETAILS
1. Passport Number 2. Date of Issue 3. Date of Expiration 4.
Place of Issue
B. PERSONAL INFORMATION
Fr MrBr
Sr Ms
1. Title 2. Family Name 3. First Name 4. Middle Name 5.
Nickname
Day Month Year Place Country
6. Date of Birth 7. Place and Country of Birth 8. Current
Nationality 9. Vest Size
10. Civil Status 11. Email Address 12. Home Phone Number 13.
Mobile Phone Number
14. Home Address
C. CURRENT OCCUPATION (Please tick applicable box/es and provide
details in the appropriate column/s.)
Employed/Self-Employed Student
1.1 Name of Employer/Business 2.1 Name of School
1.2 Address of Employer/Business 2.2 Address of School
1.3 Your Current Position 2.3 Current Course
1.4 Period of Employment (Date Started Current) 2.4 Year
Level
1.5 Character Reference Work 2.5 Character Reference School
1.6 Character References Position 2.6 Character References
Position
1.7 Character References Contact No. 2.7 Character References
Contact No.
D. CHURCH MINISTRYPriest Nun Youth MinisterCatechist Campus
MinisterOthers:___________________________1. Youth Ministry
Involvement
2. Name of Church, Institution, Community, Organization 3.
Period of Involvement (Date Started Current/Date Ended)
4. Complete address of Church, Institution, Community,
Organization
5. Character Reference Youth Ministry 6. Character References
Responsibility 7. Character References Contact No.
- For ECY Delegation Secretariat only -
Checklist of Requirements for Application
APP, original & 2 photocopies LEO, 3 photocopies
END, original & 2 photocopies
ERP, original & 2 photocopies
FIN1, 3 authenticatedphotocopies
PSP, 3photocopies of biopageand all stamped pages of
current passport, valid until 01
March 2012 or beyond
PIX, 5 copies, recently taken,white background
FEE, P700.00, OR# ______
Received by:
_______________ ___________
NSYA Staff Date
-----------------------------------------
DScreening:A PS D _______ ________ _______
Date:____________________Note:________________________________________________
____________________________
-----------------------------------------
PScreening:A D _______ ________ _______
Date:____________________
Note:________________________________________________
____________________________
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Checklist of Requirementsfor WYD2011 and Visa
LOI, original & 2 photocopies
VIS, original & 2 photocopies
LOA, original & 2 photocopies
FIN2, 3 authenticatedphotocopies
MIN, original & 2 photocopies
BCT, original & 2 photocopiesOTH, original & 2
photocopies
WYD Financial RequirementOR# __________________
Received by:
_______________ ___________
NSYA Staff Date
-----------------------------------------
Visa Application Date: _________
Status:A D
8/3/2019 WYD2011 APP Form to ECY Philippines
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E. WORLD YOUTH DAY DETAILS (Please tick applicable box/es.)
1. Please narrate briefly the reason/s why you wish to join the
WYD2011. If space is not enough, please use additional sheets.
2. Attendance to past World Youth Day International
Celebrations(Provide name of the Group/Sub-Group which you
joined.)
others before WYD95
___________________________________________________________________________________
1995 Manila ____________________________________1997 Paris
_____________________________________
2000 Rome ____________________________________
2002 Toronto ___________________________________2005 Cologne
___________________________________
2008 Sydney ____________________________________
3. WYD2011 Itinerary
Choice A: I will join in both the Pre-WYD2011 Days in the
Diocese (11-15 August 2011) and in the WYD2011 activities inMadrid
(16-21 August 2011).
Choice B: I will join only in the WYD2011 activities in Madrid
(16-21 August 2011).
4. WYD2011 Preparatory Sessions
I will attend the WYD2011 Preparatory Session on
23-24 July 2011 (Visayas delegates) 30-31 July 2011 (Mindanao
delegates) 06-07 August 2011 (Luzon delegates)
I will also attend the General Preparatory Session for the whole
delegation on 08 August 2011 in Manila.
Regrets, I cannot attend the WYD2011 Preparatory Session because
__________________________________
5. WYD2011 Re-Entry Session
I will attend the WYD2011 Re-Entry Session in Madrid on 22
August 2011.
Regrets, I cannot attend the WYD2011 Re-Entry Session because
____________________________________
6. Financial Resources : My cost of travel to Spain and
participation in the WYD2011 are assured through:
My personal resources
Sponsorship by individual benefactors and personal friends:
______________________________________________________
Fund-raising, solicitation, and other similar activities, name
of institution: ____________________________________________The
person/s or institution/s you have listed will have to provide
proofs of ability to support your trip. Please use additional
sheets if space is not enough, i.e.
there are more than one person or institution that will help you
raise funds. Please refer to the ECY & WYD2011 Primer, FIN1 on
p.7 and FIN2 on p.8.
F. FAMILY COMPOSITION
1. Fathers Full Name 2. Complete Address 3. Age 4.
Occupation
5. Mothers Full Name 6. Complete Address 7. Age 8.
Occupation
9. If married, Full name of Spouse 10. Complete Address 11. Age
12. Occupation
Name/s of Sibling/s, if Single, or Child/ren, if MarriedWrite
down the names according to age. Kindly use additional sheets if
the space below is not enough.
Full Name Complete Address Civil Status Age Occupation
1.
2.
3.
G. RELATIVES AND/OR FRIENDS RESIDING IN ANY OF THE SCHENGEN
STATESList down the name/s of your relative/s and/or friend/s
residing in any of the Schengen States: Austria, Belgium, Denmark,
Finland, France, Germany, Greece, Iceland,
Italy, Luxembourg, Netherlands, Norway, Poland, Portugal, Spain,
Sweden and Switzerland. Provide complete address/es and contact
number/s. Use additional sheet/s
if the space below is not enough.
Full Name Complete Address Relationship to You Contact
Number/s
1.
2.
a. Do you plan to spend additional days with your relative/s
and/or friend/s listed above after the WYD2011 in Madrid? Yes NoIf
Yes, you will be asked to provide your specific itinerary for the
visa application.
b. Have you visited any of the Schengen States? Yes NoIf Yes,
which Schengen State/s and in what year?
__________________________________________________________________________________________
DECLARATION
I hereby express my sincere intention to join the WYD2011
through the ECY-Philippines. Should I be fortunate to be accepted
as amember of the said delegation, I promise to faithfully follow
its itinerary and comply with all the requirements set by the ECY.I
further state that all information contained here are true, correct
and complete. I also allow the ECY to use these data for
transmission,as needed, to all entities involved in the
organization of WYD2011.
_______________________________ _____________________________
__________________ ________________________Printed Name Signature
Date Place
