Organisation Participant Application Form

This form is intended to participants from the sending partner organisation that will participate in projects organised by OTI Network and Subsidiaries. Please read it carefully and fill in all true answers for the questions that follow.

√ This form is to be completed using a laptop/desktop computer.

X Forms completed via mobile devices will not be able to be processed.

Have you been sent by a sending organisation from your country?

Yes

Sending Organisation (PIC Number or OID Number)

Project Selection

Gender Female Male Undefined/Other

First Name (only latin characters | english alphabet)

Surname/Family Name (only latin characters | english alphabet)

Retype Email

Phone Number (Include country code)

Date of Birth

Country of Residence

Country of Birth

Place/City of Birth (English Universal Characters only)

Do you have any special requests or needs? (for example: diet, -vegetarian-, medical conditions to be aware of etc.) (500 chars left)

Is the coordinating organisation purchasing your flight tickets and/or need a VISA?? No Yes

Document Type: ID Passport

Passport/ID Number:

Passport/ID Issue Date:

Passport/ID Expiry Date:

Home Full Address (only for VISA):

I understand that as a guarantee for my participation I will pay 30% of the travel budget and that it will be returned to me after the project is completed.

Please select below what applies to you. These are characteristics for young people with fewer opportunities.

Cultural Differences

Disability

Economic Obstacles

Educational Difficulties

Health Problems

Refugee

Social Obstacles

Contact Person: (in case of any emergency)

Tell us something funny or strange or unique about you (in 10 words):

Motivation, Experience, Contribution: (1000 chars left)

I agree that the information above is true, and I give my consent for the processing of these by the organisation.

I agree to the Terms and Conditions of the General Partner Agreement

I have read the Guidelines of the Covid-19 Risk Management

Are you an alien? (Let's see)