Application Form – Model OSCE, 26-29 October 2017*

Name, surname    …………………………………………………………………………………………………………
Date of Birth …………………………………………         Gender: M/F ….………………….……………….…
Address …..……………………………………………………………………………………………………………………
Phone ..….………………………………………………           E-mail: …………………………………………………
University    ………………………………………………………………………………………………………….………
Language skills .…………………………………..…………………………………………………………….…………

1. How did you learn about the Model OSCE?

•	University
•	Friend
•	NGO
•	Social networks

2. What is your personal motivation to participate in the Model OSCE?

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3. Why do you think you should be selected to participate in the Model OSCE?

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4. Please provide contact details of a relative/friend for any emergency purpose

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Please send the completed application form and your CV to ModelOSCE@osce.org 
Deadline: Monday, 11 September 2017