2012首届海峡两岸杰出青年创意创业节

比赛报名表

2012 the 1ST Straits Outstanding Young Person Ideas And Creations Festival APPLICATION FORM

v 如下述资料不全或不正确，大会有权取消参加者资格。*号为必填项

v Incomplete or wrong information submitted will lead to disqualification from joining the contest. *sign must be filled

Please print/write clearly and legibly.

姓名（中文） *                                                               姓名（英文）

Name in Chinese*: ________________________________ Name of English: _________________________________________

住址*                                                                                单位&学校*

Home Address*: __________________________________Company&College*: ______________________________________

电话*                                                                                其他号码:

Phone #*:  ________________________________________ If any No. #:  ___________________________________________

年龄                           身份证* 

Age: _____________    IDcard NO. *：________________________________________________________________________  

电子邮件*

Email Address*:  __________________________________________________________________________________________

参赛形式(个人或团队)                                                    参赛人数

Competition form(Single;Team) :_________________No. of participants:___________________________________

宗教信仰:                                        有特殊要求(例如饮食习惯等) 

Religion：__________________   Special requirements（Such as the eating habits Etc.）   ________________________________

项目类型（文创类、科技类、IT类）*                

Project type(Cultural creation, Science,IT) *: ____________________________________________________________

参赛内容简述*

Participating content brief introduction*： 

参赛者将在09/30/2012前收到电子邮件或者信件报名确认信，如果没有收到确认信，请致电大赛组委会0411-88145231。Participants will receive confirmation by email or letter by 09/30/2012. If you do not hear by 09/30/2012, please contact the Organizing Committee at (0411) 88-145-231.