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Ffurflen Gais Rhaglen Rhyngwladol 2023-24 - International Programme Application Form 2023-24
21
Questions
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1
Pa gyfle ydych yn ymgeisio amdano? What opportunity are you applying for? - Dewis Cyntaf / First Choice
Please Select
RYE - Sesiwn Astudio / Study Session - Budapest
RYE - Rali Ewropeaidd / European Rally - Estonia
RYE - Seminar yr Hydref / Autumn Seminar - Latvia
Canada
Taith Dirgel / Mystery Trip
Ynys Wyth / Isle of Wight
Iwerddon - Corc / Ireland - Cork
Please Select
Please Select
RYE - Sesiwn Astudio / Study Session - Budapest
RYE - Rali Ewropeaidd / European Rally - Estonia
RYE - Seminar yr Hydref / Autumn Seminar - Latvia
Canada
Taith Dirgel / Mystery Trip
Ynys Wyth / Isle of Wight
Iwerddon - Corc / Ireland - Cork
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2
Ail Ddewis / Second Choice
Please Select
Dim ail ddewis / No second choice
RYE - Study Sesiwn / Study Session - Budapest
RYE - Rali Ewropeaidd / European Rally - Estonia
RYE - Seminar yr Hydref / Autumn Seminar - Latvia
Canada
Taith Dirgel / Mystery Trip
Ynys Wyth / Isle of Wight
Iwerddon - Corc / Ireland - Cork
Please Select
Please Select
Dim ail ddewis / No second choice
RYE - Study Sesiwn / Study Session - Budapest
RYE - Rali Ewropeaidd / European Rally - Estonia
RYE - Seminar yr Hydref / Autumn Seminar - Latvia
Canada
Taith Dirgel / Mystery Trip
Ynys Wyth / Isle of Wight
Iwerddon - Corc / Ireland - Cork
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3
Trydydd Dewis / Third Choice
Please Select
Dim trydydd dewis / No third choice
RYE - Study Sesiwn / Study Session - Budapest
RYE - Rali Ewropeaidd / European Rally - Estonia
RYE - Seminar yr Hydref / Autumn Seminar - Latvia
Canada
Taith Dirgel / Mystery Trip
Ynys Wyth / Isle of Wight
Iwerddon - Corc / Ireland - Cork
Please Select
Please Select
Dim trydydd dewis / No third choice
RYE - Study Sesiwn / Study Session - Budapest
RYE - Rali Ewropeaidd / European Rally - Estonia
RYE - Seminar yr Hydref / Autumn Seminar - Latvia
Canada
Taith Dirgel / Mystery Trip
Ynys Wyth / Isle of Wight
Iwerddon - Corc / Ireland - Cork
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4
Enw ac Oedran / Name and Age
*
This field is required.
Enw Llawn / Full Name
Oed / Age
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5
Manylion CFfI / YFC Details
*
This field is required.
Sir / County Federation
Clwb / Club
Rhif Aelodaeth / Membership Number
Blwyddyn o aelodaeth cyntaf / Year of first Membership
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6
Dyddiad Geni / Date of Birth
*
This field is required.
-
Dyddiad / Date
Day
Month
Year
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7
Cyfeiriad Adref / Home Address
*
This field is required.
Enw/Rhif Ty - House Name/ Number
Cyfeiriad Stryd - Street Address
Tref - Town
Sir - County
Cod Post - Post Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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8
Cyfeiriad E-bost / Email address
*
This field is required.
example@example.com
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9
Rhif Ffon / Phone Number
*
This field is required.
Rhif ffôn symudol / Mobile Phone Number
Rhif ffôn Cartref / Home phone number
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10
Manylion Pasbort / Passport Details
*
This field is required.
Passport Number
Passport expiration date
Name as on passport
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11
Manylion Iechyd / Health Details
A oes gennych unrhyw alergeddau/ cyflyrau a allai effeithio ar eich iechyd/ unrhyw ofynion dietegol penodol? Do you have any allergies/ conditions which may effect your health / any specific dietary requirements?
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12
Gwledydd yr ydych wedi ymweld gyda hwy / Countries previously visited:
Gwyliau Teulu / Family Holidays
Gyda CFfI / With YFC
Eraill / Other
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13
Ieithoedd a Siaredir / Languages Spoken
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14
Swydd bresennol, addysg a hyfforddiant / Present occupation, education & training
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15
Gweithgareddau Clwb / Club activities
e.e cystadlaethau/gweithgareddau / e.g competitions/activities
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16
Swyddi o fewn CFfI / Offices held within YFC
ee Cadeirydd, ysgrifenydd / eg Chairman, secretary
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17
Gweithgareddau tu hwnt i lefel clwb / Activities beyond club level
e.e Cystadleuthau Cymru neu FFCFfI, gwirfoddoli / e.g National or Wales comps, volunteering etc.
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18
Diddordebau a Hobiau ar wahan i CFfI / Interests or Hobbies outside of YFC
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19
Datganiad Personol / Personal Statement
Dylai eich datganiad fod o leiaf 100 o eiriau a dylai gynnwys rhesymau dros ddewis rhaglen ryngwladol, disgwyliadau o’r rhaglen, gobeithion a chynlluniau i’r dyfodol o fewn y CFfI - Your statement should be at least 100 words and should include reasons for choosing the International Programme, expectations from the Programme and hopes and plans for your future in YFC
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20
PWYSIG / IMPORTANT
*
This field is required.
Ticiwch y blychau canlynol i gadarnhau: / Please tick the following boxes to confirm that:
Rwyf wedi gwirio gyda fy nghyflogwyr / sefydliad addysg y byddaf ar gael, os caf fy newis, i deithio ar y dyddiadau fel y nodir ar y ffurflen gais. I have checked with my employers / education establishment that I will be available, if selected to travel on the dates as noted on the application form.
Os caf fy newis, byddaf yn gyfrifol am yr holl gostau sy'n gysylltiedig â'r daith a fydd yn cynnwys gwariant teithio, yswiriant a chymdeithasol. If selected, I will be responsible for all costs associated with the trip which will include travel, insurance and social expenditure.
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21
Wrth lenwi'r ffurflen gais hon, arwyddwch i gadarnhau bod yr holl wybodaeth a roddir yn gofnod cywir. On completing this application form, please sign it to confirm that all the information given is a true and correct record.
*
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LLOFNOD / SIGNATURE
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