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Sojourn 2018
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Classification
Brother
Administrator
Faculty
Staff
Other:
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PERSONAL INFORMATION
Full Name as it appears on your Passport
*
Last Name, First Name Middle Name
Your answer
Nickname
*
This will be used on your pilgrim's kit
Your answer
Sex and Age Group
20-30
31-40
41-50
51-60
61 & above
Male
Female
20-30
31-40
41-50
51-60
61 & above
Male
Female
Clear selection
Date of Birth
MM
/
DD
/
YYYY
Place of Birth
As written on your Passport
Your answer
Citizenship
*
Philippines
Other:
Home Telephone
(Area Code) XXX-XXXX
Your answer
Mobile Phone
(Service Provider Prefix) XXX-XXXX
Your answer
SCHOOL AFFILIATION
Name of School
*
Choose
De La Salle Andres Soriano Memorial College
De La Salle Araneta University
De La Salle - College of St. Benilde
De La Salle Health Sciences Institute
De La Salle John Bosco College
De La Salle Lipa
De La Salle University Dasmarinas
De La Salle University
De La Salle Santiago Zobel School
Jaime Hilario Integrated School - La Salle
La Salle Academy
La Salle College Antipolo
La Salle Green Hills
La Salle University
St. Joseph School - La Salle
University of St. La Salle
Lasallian East Asia District (LEAD)
De La Salle Philippines (DLSP)
Position Title
*
Your answer
Years in Service
*
Your answer
E-mail address
*
Please double check before sending. All communications will be sent here.
Your answer
PASSPORT DETAILS
Passport Number
*
Your answer
Place of Issue
*
Your answer
Date of Issue
*
MM
/
DD
/
YYYY
Valid Until
*
MM
/
DD
/
YYYY
Countries visited within the last 5 years
Your answer
MEDICAL INFORMATION
Present Medical Issues
Your answer
Current Medications Taken
Your answer
Food Restrictions
Your answer
Allergies
Your answer
Can walk long distances without discomfort
*
Yes
No
Required
Can carry at least 20 kilograms without discomfort
*
Yes
No
Required
IN CASE OF EMERGENCY
Full name of person to be notified
*
Your answer
Address
*
Your answer
Mobile Phone
*
(Service Provider Prefix) XXX-XXXX
Your answer
Relationship
*
Your answer
REASON/S FOR JOINING SOJOURN
Your answer
Available funds for the Pilgrimage (PHP, USD, EUR
Your answer
Do you need Travel Loan Assistance from your School?
*
YES
NO
Required
Submission of this form does not guarantee automatic acceptance to the Pilgrimage. Applications shall be evaluated by the Sojourn Coordinating Team and results shall be communicated to you immediately after the evaluation. Accepted pilgrims shall adhere to the payment and submission of document deadlines to be set by the Sojourn Coordinating Team.
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