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(overwriting available) Application Form ※ Name of file: name_2016 application form.ppt Name Photo Address ( ) (mailable address) Telephone (Mobile) (Home) Email Address Homepage or SNS Nationality Sex M, F Date of Birth Academic Background (Graduate school) Month Year Univ. (Undergraduate school) Month Year Univ. (not graduated / graduated) ※ Registered students are allowed to apply (no alumni). Career (Yearly description) Month Year Route for application (overwriting available) Poster( ), Homepage( ), SNS( ), Introduction( ), website( ), others( ) Number of Participation ※ I hereby certify that the information above is true and accurate and pledge to give up on award if my works have been found to be violating any of the guidelines. Date Month 2016 Name of Applicant: (signature) ※ Please do not convert this into PDF file. (Name of file: name_2016 application form.ppt) For Daekyo Culture Foundation Secretariat

Description of existing works Picture of existing work 1 Description of existing work -. Title: -. Size: -. Materials: -. Date: -. Description: Picture of existing work 2 Description of existing work -. Title: -. Size: -. Materials: -. Date: -. Description:

Description of existing works Picture of existing work 3 Description of existing work -. Title: -. Size: -. Materials: -. Date: -. Description: Picture of existing work 4 Description of existing work -. Title: -. Size: -. Materials: -. Date: -. Description:

Description of existing works Picture of existing work 5 Description of existing work -. Title: -. Size: -. Materials: -. Date: -. Description: Certificate of registration(※ Please attach it below after a scan)

Description of the work(detailed explanation) Description of the work for Symposium Picture of the work (Graphics, Sketches, Pictures of modeling are available) Description of the work(detailed explanation) -. Title: -. Size: -. Materials: -. Date: -. Description: Front Back Right Light