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48th SSEAYP
Ship for Southeast Asian and Japanese Youth Program
Application Form for PARTICIPATING YOUTH (PY)
Personal Information
Passport-sized Photo
Surname:
First Name :
Middle Name: Nickname:
Sex: [ ] [F] Age: __ Height: __ Weight: __
Birthdate: ___________Birthplace: ________________________ Official Mailing
Address: _________________________________ Zip Code: ______
Tel. No.: (___________________ Mobile No.: ______________________________
Email Address: __________________________________________________________
Religion : __________________________________ Civil Status: __________________
Present Occupation/Position: __________________________ Years of Service: ______
Name of Institution: ______________________________________________________
Address of Institution: ____________________________________________________
Date taken: _______________________
ISLAND TO BE REPRESENTED:
_________________________
Father’s Name: ________________________________ Place of Birth: _______________ Occupation: ______________________
Mother’s Name: _______________________________ Place of Birth: _______________ Occupation: ______________________
No. of Brother/s: ________________ No. of Sister/s: ________________
Inclusive
Educational Background Name of School Course Honors Received
Dates
Elementary
Secondary
Tertiary
Vocational
Post Graduate
Scholarship Grants (Maximum of 3 grants)
Name of Scholarship Grants Donor Inclusive Dates Honors Received
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Youth Organizations/Youth Serving Organizations Affiliations (List 5 entries only)
Years of Contact Person / Contact
Name of Organization Position
Membership Number
Related Trainings and Seminars Attended (Please attach list on a separate sheet from present to previous for the last 3
years in this format)
Title of Seminars/Trainings Attended Inclusive Dates Conducted by Contact No.
Previous Work Experiences (From present to previous years)
Name of Company / Contact No. Position Inclusive Dates
Passport Information Passport No.: Place of Issue:
Date of Issue: Date of Expiry:
Other Information Special Skills or Talents:
Food Restrictions: Allergies:
Dialect(s) or Foreign Language(s) Spoken:
Character References (Not related to you within the third degree of consanguinity or affinity)
Name Occupation Address and Telephone No.
Kindly Answer the Following Questions Truthfully and Honestly
Please name any SSEAYP Alumni you know Relationship
Are you a Sangguniang Kabataan or Local Youth Development Officer? [ ] No [ ] Yes
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If yes, please indicate position and Barangay/City/Municipality/Province _______________________________________________________________
Have you been involved with any NYC local program or activity? [ ] No [ ] Yes
If yes, please indicate the program(s) and year. ____________________________________________________________________________________
Have you been a participant of any NYC International Exchange Program? [ ] No [ ] Yes
If yes, please indicate the program(s) and year. ____________________________________________________________________________________
Have you rendered voluntary service for the NYC? [ ] No [ ] Yes
Please state the nature of service and how long. ______________________________________________________________________________
Have you joined or attended any SSEAYP activities? [ ] No [ ] Yes
If yes, please indicate. ________________________________________________________________________________________________________
Do you anticipate to take part in any program, conference, board/bar exams or scholarships this year? [ ] No [ ] Yes
If yes, please indicate details. __________________________________________________________________________________________________
Are you a member of an organization registered under the Youth Organizations Registration Program (YORP) of NYC?
If yes, please indicate the name of the organization and year it was registered. __________________________________________________________
Are you on a scholarship granted by the Department of Science and Technology (DOST) and/or any other government agencies? [ ] No [ ] Yes
If yes, please indicate. ________________________________________________________________________________________________________
Are you suffering from any illness and/or any orthopedic disabilities or taking prescription drugs to cure specific illness? [ ] No [ ] Yes. If yes,
please specify _____________________________________________________________________________________________________________
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Qualifications
a. Filipino citizen, single, must be 18 to 30 years old, as of May 8, 2024;
b. Must be of good moral character and has no criminal records;
c. Must possess a good command of the English language, which is the medium used in the program;
d. Must be physically and mentally fit to travel;
e. Must be residing at the place of representation for at least six (6) months at the time of application:
a) If not employed nor studying, must be residing in the island to be represented for at least two (2) years immediately preceding the date of
application;
b) If employed, the applicant must be working in the island to be represented for at least six (6) months immediately preceding the date of
application;
c) If a student, the applicant must be studying in the island to be represented for at least six (6) months immediately preceding the date of
application; If at the time of application, the applicant has less than six (6) months of stay in the workplace, school or residence, the Paper
Screening Committee reserves the right to determine the applicant’s island representation;
d) If a student wishes to apply to represent a particular island, they must present a certification duly signed by the head of the organization that
the applicant is actively participating in the island’s youth-related activities for at least six (6) months immediately preceding the date of
application.
f. Preferably be a youth leader or youth officer with a proven track record of active youth, community or public service at least a year of being a
member of a youth organization or youth serving organization
g. Must have a strong background and knowledge in Philippine history, geography, culture and arts, and the region to be represented;
h. Must be knowledgeable on current issues about ASEAN and Japan;
i. Preferably a first-time international traveler;
j. Must not have been a grantee or recipient of any NYC-coordinated international program, wherein round-trip airfare, food and accommodation
were borne by the organizer/s, at least two (2) years immediately preceding the date of application;
k. Must not have been a grantee or recipient of NYC-coordinated international program, which round-trip airfare was shouldered by the
participants, at least one (1) year immediately preceding from the date of application;
l. Must be willing to take a leave of absence from school or work and complete all trainings and activities before, during and after the program, with
the following timeframe:
Table 1. Program Timeframe(1)
Pre-departure Training July 22-26, 2024
Online Pre-meeting October 20, 2024
Pre-departure Activities October 4 – November 4, 2024
Exchange Program November 4 -December 10,
2024
Post-Program Evaluation December 11-13, 2024
Requirements and Application Documents
1. One (1) copy of notarized application form with a passport-sized photo. Photo should have a white background, original and not scanned, and
taken within the last six (6) months;
2. One (1) copy of the applicant’s resume (maximum of three pages; no other attachments);
3. One (1) original copy of a notarized Certificate of Residency issued by the Punong Barangay where the applicant is currently residing;
4. One (1) original copy of a certification from the organization that the applicant is an active member for at least one (1) year immediately
preceding the application period;
5. Valid NBI Clearance
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Submission of Application Documents
1. All applicants shall accomplish the google form to be provided by the SSEAYP secretariat, uploading all application requirements via google drive.
2. Original copies of the application requirements shall be mailed or hand-carried to the National Youth Commission on or before the scheduled
panel interview of qualified applicants.
3. The deadline for online submission of complete documents is on May 8, 2024 at 05:00 PM.
4. For hand-carried applications, they may be submitted not later than 5:00 pm of the set deadline to:
Social Marketing Division, National Youth Commission,
3rd floor West Insula Building, #135 West Avenue corner EDSA, Quezon City
Tel. No.: (02) 426-8733
5. Do not submit multiple applications and do not send application documents in .zip or .rar files.
6. Applicants with incomplete requirements by 05:00 pm on the set deadline shall automatically be disqualified.
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SWORN STATEMENT
I hereby certify upon my honor that all facts and information indicated herein are true and correct to the best of my knowledge. I further declare that
any information given by me that is untrue may constitute a ground for expulsion in the SSEAYP and prosecution for falsification.
I expressly authorize the National Youth Commission or its representatives to use, share and process personal information that I have provided, shared
or declared in this form/document/site for any lawful purpose.
Further, I subscribe and agree that the National Youth Commission has the sole prerogative to select, reclassify and nominate the delegates to the Ship
for Southeast Asian and Japanese Youth Program [SSEAYP], and its decision is final and executory.
I hereby commit myself to be available for the pre-departure training, pre-departure activities, cruise, and post-program evaluation. In addition to
this, I also acknowledge that I cannot commit to any international travel/s after I get selected as potential delegate to the SSEAYP. Non-compliance
to such policy would merit my outright disqualification from the program unless the reason/s fall under life or death circumstances.
I further commit to pay all expenses incurred by the National Youth Commission during my entire participation, if in any case I withdraw from the
program.
IN WITNESS hereof, I am executing and signing this statement voluntarily without compulsion.
Date Accomplished: _____________________________
_______________________________________________
Signature of Applicant
SUBSCRIBED AND SWORN to before me this day of , affiant exhibiting to me the _______________________
_____________________________as identity reference.
_______________________________________
(Person Administering Oath)
