Bulletin 2 – Appendix 5
23WSJ Study Visit Application Form
National Scout Organization Country
1) Please provide contact details for 23WSJ Study Visit Delegation Leader (First Name)
(Family Name)
(Date of Birth)
(Gender)
(Position in NSO) (E-mail)
(Telephone)
(Address) (City)
(Region/State)
(Postcode)
(Country)
2) How many people do you estimate might be in your 23WSJ Study Visit Delegation? Estimated Number in Delegation
3) Which accommodation option does your delegation intend to use? <Package Option> Option
Fee
No. of
Subtotal
Participants Option 1: Jamhotel Basic Package
JPY 10,000
JPY
Option 2: Dormitory Package
JPY 15,000
JPY
Option 3: Basic Package
JPY 5,000
JPY
Extra Stay on 7th August 2013
JPY 2,000
JPY Total Fee
<Own Arrangement>
Number of Participants Dates that you intend to visit
4) What is your preferred language for communications relating to the 23WSJ Study Visit? English
French
5) Will you or members of your delegation require a visa? Yes
No
6) Do any of your members have any special needs? Yes
No
If yes, please provide details:
7) What topics do you hope to cover during your visit?
8) Please give details of members of your delegation (First Name)
(Family Name)
(Date of Birth)
(Gender)
(Position in NSO) (E-mail)
(Telephone)
(Address) (City)
(Region/State)
(Postcode)
(Country) *Make a copy of this page if necessary
9) Approval of NSO (Name of NSO) (Name of Approver) (Title) (E-mail) (Date)
(Signature)
This form should be completed by each National Scout Organization (only one per country), and returned to the Jamboree Office by the end of June 2013