EmailMe Form - Application Form

ALL ITEMS ARE REQUIRED UNLESS SPECIFIED AS OPTIONAL ANY BLANK WILL INVALIDATE YOUR APPLICATION

Full name *

Nickname *

Birthday (mm/dd/yyyy) *

Job (if working) *

Grade/Level, Course and School (if studying) *

Contact Number (pref. mobile) *

E-mail Address *

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Character name: *

Character Level: *

Character Class: *

Character created since: (Month and Year) *

Current and Past Clans: *

Other Games Played aside from Perfect World *

Why do you want to be an Exiled Member? *

Why should we accept you? *

Who are your close friends in the clan? (optional)

What game are you applying? *

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