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California Irvine, Extension Telephone: Fax: E-mail: Website: (949) 824-9682 (949) 824-8065 cindy.lin unx.uci.edu http://unex.uci.edu/international/university P.O. Box 6050 Irvine, CA 92616-6050 U.S.A. Enrollment Application for California Academic Program/Thematic Study Abroad Program (CAP/TSA) 1 PERSONAL INFORMATION 2 SELECTION OF PROGRAM Please type or clearly print your name exactly as it appears on your passport. (Include a copy of your passport page with name and photograph, if availa.

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