VHD Portfolio

vimuheenkenda.com

Brand Identity

Sri Lanka Unites Australia

Identity and collateral for not for Australian branch of international profit organisation SLUA.

WELLORGANIZED

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Brand Identity

RUSLSA

Identity and collateral for not for University Student club.

ProfessionaliseIt

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Print MaterialPromo

A variety of posters designed to promote various events.

Bold, Clean& Striking

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Print Material

Desiging ToImpress

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Print MaterialPromo

A series of posters Aimed to petition against rape

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Print MaterialMaking ADifference

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Print Material

vimuheenkenda.com

Unity without

ConformityExplorations of peace & faith

with Sri Lankan youth

Report Prepared by:Dr. Cynthia Mackenzie

Mr. Larry Marshall

May 2014

Report Commissioned by Rev David Pargeter,Executive Director, CFMUniting Church in AustraliaSynod of Victoria and Tasmania

Print Material

vimuheenkenda.com

Architectural MovementsCongrès internationaux d'architecture modern (CIAM) (1928–1959)

Team X (1953–1981) Metabolism (1960–1970)

Archigram (1961–1974)

Deconstructivism (1982–present)

Brutalist architecture (1952-1975)Nazi architecture (Germany) (1936-1945)

Postmodernism (1950-2007)

Stalinist architecture (Soviet Union) (1933-1955)

Bauhaus (Germany) (1919-1933)Fascist architecture (Italy) (1925-1936) Art Deco (1925-1939)

International style (1927-1976)

Edwardian Baroque architecture (United Kingdom ) (1901-1910)Futurist architecture (Europe) (1909-present)

Expressionist architecture (1910-1930)Modernism (1914-1960)Constructivist architecture (1914-1920)

Prairie Style (USA ) (1890-1920)Colonial Revival (1890s-present)

Taish

ō pe

riod

Shōw

a pe

riod

Heise

i per

iod (1

989-

pres

ent)

Russo-Japanese War

Seco

nd S

ino-

Japa

nese

War

Occup

atio

n of

Japa

n

Japa

nese

pos

t-war

eco

nom

ic m

iracle

The

Lost

Dec

ade

Japa

nese

ass

et p

rice

bubb

le

Mei

ji Em

pero

r die

s

Great

Kan

tō e

arth

quak

eTa

ishō

Empe

ror d

ies

Shōw

a �n

ancia

l cris

is

Trip

artit

e Pa

ctSo

viet

–Jap

anes

e Neu

tralit

y Pac

t

Atom

ic bo

mbi

ngs o

f Hiro

shim

a an

d Nag

asak

i

Sovi

et in

vasio

n of

Man

chur

ia

Surre

nder

of J

apan

1948

Fuku

i ear

thqu

ake

Shōw

a Em

pero

r die

s

Expo

'70

1964

Oly

mpi

c Gam

es, T

okyo

Great

Han

shin

Ear

thqu

ake

Wor

ld W

ar I

Kore

an W

ar Gre

at D

epre

ssio

n

Wor

ld W

ar II

Cold

War

Viet

nam

War

Great

Leap

Forw

ard

Spac

e Ra

ce

Irani

an R

evol

utio

n

1970

s ene

rgy c

risis

1973

oil c

risis

1979

ene

rgy c

risis

Iran–

Iraq

War

1980

s oil g

lut

Wal

l Stre

et C

rash

of 1

929

Latin

Am

erica

n de

bt cr

isis

Blac

k Mon

day (

1987

)

1997

Asia

n �n

anci

al c

risis

Loui

s Kha

ns vi

sits J

apan

Meij

i per

iod

(186

8-19

12)

Kenzo Tange (1913 -2005)

Kiyonori Kikutake (1928-2011) Kisho Kurakawa (1934-2007)

Fumihiko Maki (1928-) Sachio Otani (1924-)

Arata Isozaki (1931-)

Takashi Asada (1921-1990)

Noboru Kawazoe (1926-)

Tadao Ando (1941-)Toyo Ito (1941-)

Shigeru Ban (1957-)

Kengo Kuma (1954-)Kazuyo Sejima (1956-)

Ryue Nishizawa (1966-)

Frank Lloyd Wright (1867-1959)Ludwig Mies van der Rohe (1886-1969)Le Corbusier (1887-1965)

Louis Kahn (1901-1974)

Walter Gropius (1883-1969)

Alvar Aalto (1898-1976)

Oscar Niemeyer (1907-)

Buckminster Fuller (1895 - 1983)

Sou Fujimoto (1971-)

Archizoom (1966-1974) Superstudio (1966-1978)

Cedric Price (1934-2003)Rem Koolhaas (1944-)

19501970

19301910

19401960

19201990

1980

Architectural Timeline of the Metabolist Movement

22

In�uential ArchitectureBarcelona Pavilion, Ludwig Mies van der Rohe, 1929Villa Savoye, Le Corbusier, 1931Bauhaus, Walter Gropius, 1932Fallingwater, Frank Lloyd Wright, 1939United Nations Headquarters, Oscar Niemeyer, 1947Glass House, Philip Johnson, 1949Farnsworth House, Ludwig Mies van der Rohe, 1951Notre Dame du Haut, Le Corbusier, 1954Seagram Building, Ludwig Mies van der Rohe, 1958Vanna Venturi House, Robert Venturi, 1964Sydney Opera House, Jørn Utzon, 1973Jatiyo Sangshad Bhaban, Louis Kahn, 1982Guggenheim Museum Bilbao, Frank Gehry, 1997Burj Al Arab, Tom Wright, 1999

Metabolist BuildingsMonument to the East Asia Co-Prosperity Sphere, Kenzo Tange, 1942Peace Park, Hiroshima, Kenzo Tange, 1955Atomic bomb Memorial Museum, Hiroshima, Kenzo Tange, 1955Sky House, Tokyo, Kiyonori Kikutake, 1958Plan for Tokyo, Kenzo Tange, 1960Joint Core System, Arata Isozaki, 1960City Farm, Kisho Kurokawa, 1960Shinjuku Station, Tokyo, Fumihiko Maki & Masato Osawa, 1960City in the air, Arata Isozaki, 1961Helix City, Kisho Kurokawa, 1961Renewal of Tsukiji District, Kenzo Tange, 1963Marine City, Hawaii, Kiyonori Kikutake, 1963Hotel Tokoen, Tottori, Kiyonori Kikutake, 1964Plan reconstruction of Skopje, Macedonia, Kenzo Tange, 1965Miyakonogo Civic Center, Kiyonori Kikutake, 1966International Conference Center, Kyoto, Sachio Otani, 1966

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Shizuoka Press and Broadcasting Center, Kenzo Tange, 1967Master Plan for the Osaka Expo ‘70Beautilion Takara, Osaka Expo, Kisho Kurokawa, 1970Expo Tower, Osaka, Kiyonori Kikutake, 1970Nakagin Capsual Tower, Kisho Kurokawa, 1972Plan for remodelling the Japanese archipelago, 1972Ecopolis, Kiyonori Kikutake, 199023

23

Architectural MovementsCongrès internationaux d'architecture modern (CIAM) (1928–1959)

Team X (1953–1981) Metabolism (1960–1970)

Archigram (1961–1974)

Deconstructivism (1982–present)

Brutalist architecture (1952-1975)Nazi architecture (Germany) (1936-1945)

Postmodernism (1950-2007)

Stalinist architecture (Soviet Union) (1933-1955)

Bauhaus (Germany) (1919-1933)Fascist architecture (Italy) (1925-1936) Art Deco (1925-1939)

International style (1927-1976)

Edwardian Baroque architecture (United Kingdom ) (1901-1910)Futurist architecture (Europe) (1909-present)

Expressionist architecture (1910-1930)Modernism (1914-1960)Constructivist architecture (1914-1920)

Prairie Style (USA ) (1890-1920)Colonial Revival (1890s-present)

Taish

ō pe

riod

Shōw

a pe

riod

Heise

i per

iod (1

989-

pres

ent)

Russo-Japanese War

Seco

nd S

ino-

Japa

nese

War

Occup

atio

n of

Japa

n

Japa

nese

pos

t-war

eco

nom

ic m

iracle

The

Lost

Dec

ade

Japa

nese

ass

et p

rice

bubb

le

Mei

ji Em

pero

r die

s

Great

Kan

tō e

arth

quak

eTa

ishō

Empe

ror d

ies

Shōw

a �n

ancia

l cris

is

Trip

artit

e Pa

ctSo

viet

–Jap

anes

e Neu

tralit

y Pac

t

Atom

ic bo

mbi

ngs o

f Hiro

shim

a an

d Nag

asak

i

Sovi

et in

vasio

n of

Man

chur

ia

Surre

nder

of J

apan

1948

Fuku

i ear

thqu

ake

Shōw

a Em

pero

r die

s

Expo

'70

1964

Oly

mpi

c Gam

es, T

okyo

Great

Han

shin

Ear

thqu

ake

Wor

ld W

ar I

Kore

an W

ar Gre

at D

epre

ssio

n

Wor

ld W

ar II

Cold

War

Viet

nam

War

Great

Leap

Forw

ard

Spac

e Ra

ce

Irani

an R

evol

utio

n

1970

s ene

rgy c

risis

1973

oil c

risis

1979

ene

rgy c

risis

Iran–

Iraq

War

1980

s oil g

lut

Wal

l Stre

et C

rash

of 1

929

Latin

Am

erica

n de

bt cr

isis

Blac

k Mon

day (

1987

)

1997

Asia

n �n

anci

al c

risis

Loui

s Kha

ns vi

sits J

apan

Meij

i per

iod

(186

8-19

12)

Kenzo Tange (1913 -2005)

Kiyonori Kikutake (1928-2011) Kisho Kurakawa (1934-2007)

Fumihiko Maki (1928-) Sachio Otani (1924-)

Arata Isozaki (1931-)

Takashi Asada (1921-1990)

Noboru Kawazoe (1926-)

Tadao Ando (1941-)Toyo Ito (1941-)

Shigeru Ban (1957-)

Kengo Kuma (1954-)Kazuyo Sejima (1956-)

Ryue Nishizawa (1966-)

Frank Lloyd Wright (1867-1959)Ludwig Mies van der Rohe (1886-1969)Le Corbusier (1887-1965)

Louis Kahn (1901-1974)

Walter Gropius (1883-1969)

Alvar Aalto (1898-1976)

Oscar Niemeyer (1907-)

Buckminster Fuller (1895 - 1983)

Sou Fujimoto (1971-)

Archizoom (1966-1974) Superstudio (1966-1978)

Cedric Price (1934-2003)Rem Koolhaas (1944-)

19501970

19301910

19401960

19201990

1980

Architectural Timeline of the Metabolist Movement

22

In�uential ArchitectureBarcelona Pavilion, Ludwig Mies van der Rohe, 1929Villa Savoye, Le Corbusier, 1931Bauhaus, Walter Gropius, 1932Fallingwater, Frank Lloyd Wright, 1939United Nations Headquarters, Oscar Niemeyer, 1947Glass House, Philip Johnson, 1949Farnsworth House, Ludwig Mies van der Rohe, 1951Notre Dame du Haut, Le Corbusier, 1954Seagram Building, Ludwig Mies van der Rohe, 1958Vanna Venturi House, Robert Venturi, 1964Sydney Opera House, Jørn Utzon, 1973Jatiyo Sangshad Bhaban, Louis Kahn, 1982Guggenheim Museum Bilbao, Frank Gehry, 1997Burj Al Arab, Tom Wright, 1999

Metabolist BuildingsMonument to the East Asia Co-Prosperity Sphere, Kenzo Tange, 1942Peace Park, Hiroshima, Kenzo Tange, 1955Atomic bomb Memorial Museum, Hiroshima, Kenzo Tange, 1955Sky House, Tokyo, Kiyonori Kikutake, 1958Plan for Tokyo, Kenzo Tange, 1960Joint Core System, Arata Isozaki, 1960City Farm, Kisho Kurokawa, 1960Shinjuku Station, Tokyo, Fumihiko Maki & Masato Osawa, 1960City in the air, Arata Isozaki, 1961Helix City, Kisho Kurokawa, 1961Renewal of Tsukiji District, Kenzo Tange, 1963Marine City, Hawaii, Kiyonori Kikutake, 1963Hotel Tokoen, Tottori, Kiyonori Kikutake, 1964Plan reconstruction of Skopje, Macedonia, Kenzo Tange, 1965Miyakonogo Civic Center, Kiyonori Kikutake, 1966International Conference Center, Kyoto, Sachio Otani, 1966

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2

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9

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14

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18

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20

21

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2 3

4

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6

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7

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9

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12

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17 18

19

20

22

21

Shizuoka Press and Broadcasting Center, Kenzo Tange, 1967Master Plan for the Osaka Expo ‘70Beautilion Takara, Osaka Expo, Kisho Kurokawa, 1970Expo Tower, Osaka, Kiyonori Kikutake, 1970Nakagin Capsual Tower, Kisho Kurokawa, 1972Plan for remodelling the Japanese archipelago, 1972Ecopolis, Kiyonori Kikutake, 199023

23

vimuheenkenda.com

Architectural MovementsCongrès internationaux d'architecture modern (CIAM) (1928–1959)

Team X (1953–1981) Metabolism (1960–1970)

Archigram (1961–1974)

Deconstructivism (1982–present)

Brutalist architecture (1952-1975)Nazi architecture (Germany) (1936-1945)

Postmodernism (1950-2007)

Stalinist architecture (Soviet Union) (1933-1955)

Bauhaus (Germany) (1919-1933)Fascist architecture (Italy) (1925-1936) Art Deco (1925-1939)

International style (1927-1976)

Edwardian Baroque architecture (United Kingdom ) (1901-1910)Futurist architecture (Europe) (1909-present)

Expressionist architecture (1910-1930)Modernism (1914-1960)Constructivist architecture (1914-1920)

Prairie Style (USA ) (1890-1920)Colonial Revival (1890s-present)

Taish

ō pe

riod

Shōw

a pe

riod

Heise

i per

iod (1

989-

pres

ent)

Russo-Japanese War

Seco

nd S

ino-

Japa

nese

War

Occup

atio

n of

Japa

n

Japa

nese

pos

t-war

eco

nom

ic m

iracle

The

Lost

Dec

ade

Japa

nese

ass

et p

rice

bubb

le

Mei

ji Em

pero

r die

s

Great

Kan

tō e

arth

quak

eTa

ishō

Empe

ror d

ies

Shōw

a �n

ancia

l cris

is

Trip

artit

e Pa

ctSo

viet

–Jap

anes

e Neu

tralit

y Pac

t

Atom

ic bo

mbi

ngs o

f Hiro

shim

a an

d Nag

asak

i

Sovi

et in

vasio

n of

Man

chur

ia

Surre

nder

of J

apan

1948

Fuku

i ear

thqu

ake

Shōw

a Em

pero

r die

s

Expo

'70

1964

Oly

mpi

c Gam

es, T

okyo

Great

Han

shin

Ear

thqu

ake

Wor

ld W

ar I

Kore

an W

ar Gre

at D

epre

ssio

n

Wor

ld W

ar II

Cold

War

Viet

nam

War

Great

Leap

Forw

ard

Spac

e Ra

ce

Irani

an R

evol

utio

n

1970

s ene

rgy c

risis

1973

oil c

risis

1979

ene

rgy c

risis

Iran–

Iraq

War

1980

s oil g

lut

Wal

l Stre

et C

rash

of 1

929

Latin

Am

erica

n de

bt cr

isis

Blac

k Mon

day (

1987

)

1997

Asia

n �n

anci

al c

risis

Loui

s Kha

ns vi

sits J

apan

Meij

i per

iod

(186

8-19

12)

Kenzo Tange (1913 -2005)

Kiyonori Kikutake (1928-2011) Kisho Kurakawa (1934-2007)

Fumihiko Maki (1928-) Sachio Otani (1924-)

Arata Isozaki (1931-)

Takashi Asada (1921-1990)

Noboru Kawazoe (1926-)

Tadao Ando (1941-)Toyo Ito (1941-)

Shigeru Ban (1957-)

Kengo Kuma (1954-)Kazuyo Sejima (1956-)

Ryue Nishizawa (1966-)

Frank Lloyd Wright (1867-1959)Ludwig Mies van der Rohe (1886-1969)Le Corbusier (1887-1965)

Louis Kahn (1901-1974)

Walter Gropius (1883-1969)

Alvar Aalto (1898-1976)

Oscar Niemeyer (1907-)

Buckminster Fuller (1895 - 1983)

Sou Fujimoto (1971-)

Archizoom (1966-1974) Superstudio (1966-1978)

Cedric Price (1934-2003)Rem Koolhaas (1944-)

19501970

19301910

19401960

19201990

1980

Architectural Timeline of the Metabolist Movement

22

In�uential ArchitectureBarcelona Pavilion, Ludwig Mies van der Rohe, 1929Villa Savoye, Le Corbusier, 1931Bauhaus, Walter Gropius, 1932Fallingwater, Frank Lloyd Wright, 1939United Nations Headquarters, Oscar Niemeyer, 1947Glass House, Philip Johnson, 1949Farnsworth House, Ludwig Mies van der Rohe, 1951Notre Dame du Haut, Le Corbusier, 1954Seagram Building, Ludwig Mies van der Rohe, 1958Vanna Venturi House, Robert Venturi, 1964Sydney Opera House, Jørn Utzon, 1973Jatiyo Sangshad Bhaban, Louis Kahn, 1982Guggenheim Museum Bilbao, Frank Gehry, 1997Burj Al Arab, Tom Wright, 1999

Metabolist BuildingsMonument to the East Asia Co-Prosperity Sphere, Kenzo Tange, 1942Peace Park, Hiroshima, Kenzo Tange, 1955Atomic bomb Memorial Museum, Hiroshima, Kenzo Tange, 1955Sky House, Tokyo, Kiyonori Kikutake, 1958Plan for Tokyo, Kenzo Tange, 1960Joint Core System, Arata Isozaki, 1960City Farm, Kisho Kurokawa, 1960Shinjuku Station, Tokyo, Fumihiko Maki & Masato Osawa, 1960City in the air, Arata Isozaki, 1961Helix City, Kisho Kurokawa, 1961Renewal of Tsukiji District, Kenzo Tange, 1963Marine City, Hawaii, Kiyonori Kikutake, 1963Hotel Tokoen, Tottori, Kiyonori Kikutake, 1964Plan reconstruction of Skopje, Macedonia, Kenzo Tange, 1965Miyakonogo Civic Center, Kiyonori Kikutake, 1966International Conference Center, Kyoto, Sachio Otani, 1966

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Shizuoka Press and Broadcasting Center, Kenzo Tange, 1967Master Plan for the Osaka Expo ‘70Beautilion Takara, Osaka Expo, Kisho Kurokawa, 1970Expo Tower, Osaka, Kiyonori Kikutake, 1970Nakagin Capsual Tower, Kisho Kurokawa, 1972Plan for remodelling the Japanese archipelago, 1972Ecopolis, Kiyonori Kikutake, 199023

23

InfoGraphics

Info

Large format information banner/poster of the Metabolist Architecture movement.

Architectural MovementsCongrès internationaux d'architecture modern (CIAM) (1928–1959)

Team X (1953–1981) Metabolism (1960–1970)

Archigram (1961–1974)

Deconstructivism (1982–present)

Brutalist architecture (1952-1975)Nazi architecture (Germany) (1936-1945)

Postmodernism (1950-2007)

Stalinist architecture (Soviet Union) (1933-1955)

Bauhaus (Germany) (1919-1933)Fascist architecture (Italy) (1925-1936) Art Deco (1925-1939)

International style (1927-1976)

Edwardian Baroque architecture (United Kingdom ) (1901-1910)Futurist architecture (Europe) (1909-present)

Expressionist architecture (1910-1930)Modernism (1914-1960)Constructivist architecture (1914-1920)

Prairie Style (USA ) (1890-1920)Colonial Revival (1890s-present)

Taish

ō pe

riod

Shōw

a pe

riod

Heise

i per

iod (1

989-

pres

ent)

Russo-Japanese War

Seco

nd S

ino-

Japa

nese

War

Occup

atio

n of

Japa

n

Japa

nese

pos

t-war

eco

nom

ic m

iracle

The

Lost

Dec

ade

Japa

nese

ass

et p

rice

bubb

le

Mei

ji Em

pero

r die

s

Great

Kan

tō e

arth

quak

eTa

ishō

Empe

ror d

ies

Shōw

a �n

ancia

l cris

is

Trip

artit

e Pa

ctSo

viet

–Jap

anes

e Neu

tralit

y Pac

t

Atom

ic bo

mbi

ngs o

f Hiro

shim

a an

d Nag

asak

i

Sovi

et in

vasio

n of

Man

chur

ia

Surre

nder

of J

apan

1948

Fuku

i ear

thqu

ake

Shōw

a Em

pero

r die

s

Expo

'70

1964

Oly

mpi

c Gam

es, T

okyo

Great

Han

shin

Ear

thqu

ake

Wor

ld W

ar I

Kore

an W

ar Gre

at D

epre

ssio

n

Wor

ld W

ar II

Cold

War

Viet

nam

War

Great

Leap

Forw

ard

Spac

e Ra

ce

Irani

an R

evol

utio

n

1970

s ene

rgy c

risis

1973

oil c

risis

1979

ene

rgy c

risis

Iran–

Iraq

War

1980

s oil g

lut

Wal

l Stre

et C

rash

of 1

929

Latin

Am

erica

n de

bt cr

isis

Blac

k Mon

day (

1987

)

1997

Asia

n �n

anci

al c

risis

Loui

s Kha

ns vi

sits J

apan

Meij

i per

iod

(186

8-19

12)

Kenzo Tange (1913 -2005)

Kiyonori Kikutake (1928-2011) Kisho Kurakawa (1934-2007)

Fumihiko Maki (1928-) Sachio Otani (1924-)

Arata Isozaki (1931-)

Takashi Asada (1921-1990)

Noboru Kawazoe (1926-)

Tadao Ando (1941-)Toyo Ito (1941-)

Shigeru Ban (1957-)

Kengo Kuma (1954-)Kazuyo Sejima (1956-)

Ryue Nishizawa (1966-)

Frank Lloyd Wright (1867-1959)Ludwig Mies van der Rohe (1886-1969)Le Corbusier (1887-1965)

Louis Kahn (1901-1974)

Walter Gropius (1883-1969)

Alvar Aalto (1898-1976)

Oscar Niemeyer (1907-)

Buckminster Fuller (1895 - 1983)

Sou Fujimoto (1971-)

Archizoom (1966-1974) Superstudio (1966-1978)

Cedric Price (1934-2003)Rem Koolhaas (1944-)

19501970

19301910

19401960

19201990

1980

Architectural Timeline of the Metabolist Movement

22

In�uential ArchitectureBarcelona Pavilion, Ludwig Mies van der Rohe, 1929Villa Savoye, Le Corbusier, 1931Bauhaus, Walter Gropius, 1932Fallingwater, Frank Lloyd Wright, 1939United Nations Headquarters, Oscar Niemeyer, 1947Glass House, Philip Johnson, 1949Farnsworth House, Ludwig Mies van der Rohe, 1951Notre Dame du Haut, Le Corbusier, 1954Seagram Building, Ludwig Mies van der Rohe, 1958Vanna Venturi House, Robert Venturi, 1964Sydney Opera House, Jørn Utzon, 1973Jatiyo Sangshad Bhaban, Louis Kahn, 1982Guggenheim Museum Bilbao, Frank Gehry, 1997Burj Al Arab, Tom Wright, 1999

Metabolist BuildingsMonument to the East Asia Co-Prosperity Sphere, Kenzo Tange, 1942Peace Park, Hiroshima, Kenzo Tange, 1955Atomic bomb Memorial Museum, Hiroshima, Kenzo Tange, 1955Sky House, Tokyo, Kiyonori Kikutake, 1958Plan for Tokyo, Kenzo Tange, 1960Joint Core System, Arata Isozaki, 1960City Farm, Kisho Kurokawa, 1960Shinjuku Station, Tokyo, Fumihiko Maki & Masato Osawa, 1960City in the air, Arata Isozaki, 1961Helix City, Kisho Kurokawa, 1961Renewal of Tsukiji District, Kenzo Tange, 1963Marine City, Hawaii, Kiyonori Kikutake, 1963Hotel Tokoen, Tottori, Kiyonori Kikutake, 1964Plan reconstruction of Skopje, Macedonia, Kenzo Tange, 1965Miyakonogo Civic Center, Kiyonori Kikutake, 1966International Conference Center, Kyoto, Sachio Otani, 1966

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Shizuoka Press and Broadcasting Center, Kenzo Tange, 1967Master Plan for the Osaka Expo ‘70Beautilion Takara, Osaka Expo, Kisho Kurokawa, 1970Expo Tower, Osaka, Kiyonori Kikutake, 1970Nakagin Capsual Tower, Kisho Kurokawa, 1972Plan for remodelling the Japanese archipelago, 1972Ecopolis, Kiyonori Kikutake, 199023

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Title: ..............................................

First name: .............................................................................................................................................

..............................................................................................................................................Surname:

Institution/organisation: ............................................................................................ How do you known this referee? ......................................................................................................................................................................

......................................................................................................................................................................

How long have you known this referee?

Phone: .................................................................................................................................

Email: ..........................................................................................................................................................................................................................................................................................................................................................................................

1.

2.

DHOOM Medical Charity Application form forVolunteering

Referees 5

Medical Information6

Questionnaire7

Declaration8

foreignaid@dhoomcharity.orgwww.dhoomcharity.org

page 2 of 2

I am applying for volunteer work with DHOOM Medical Charity (DMC).I agree to uphold and work within DMC rules and guidelines whilst carrying out my volunteer duties and when representing DMC.I agree to maintain the highest standards of confidentiality with respect to any information obtained during the course of my volunteer work.I declare that the information contained in this application is true and correct. I understand that I may be required to participate in an interview and selection process, undertake a reference and background check.I understand that I will be required to undertake an induction and/or service/program training prior to my commencement.

I declare that the information I have given in this application is correct and complete.

Applicant’s signature: .....................................................................................................................................

Applicant’s Name: ............................................................................................................................................

Date: ....................................................

DHOOM Medical Charity has a duty of care to protect your health and/or safety while you are a volunteer. Your answers to the following questions will help meet our mutual needs. (Please comment on the impact of the following on work to be performed by you)

Do you have an existing medical disability/condition/injury? (Please provide details)

Do you take any medication that may affect your work? (Please provide details)

..................................................................................................................................................................................................................

............................................................................................................................................................................................................................

Why do you want to take part in this volunteer program?

Have you been to India, Sri Lanka, Bangladesh, Pakistan and/or Nepal before?

What other charities have you been involved with and what was your role?..................................................................................................................................................................................................................................................................................................................................................................................................................

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Which volunteer trip are you applying for?..................................................................................................................................................................................................................................................................................................................................................................................................................

Please provide the contact details of two people who are not family members and who are willing to act as referees for your chosen voluntary work position.

Title: ..............................................

First name: .............................................................................................................................................

..............................................................................................................................................Surname:

Institution/organisation: ............................................................................................ How do you known this referee?

How long have you known this referee?

......................................................................................................................................................

......................................................................................................................................................

Phone: .................................................................................................................................

Email: ..........................................................................................................................................................................................................................................................................................................................................................................................

A) December trip to Kadapakkam (South India)

B) January trip to Buldana (North India)

Digital Forms

DHOOM Medical Charity Application form forVolunteering

Personal & contact details 1

Title: ..............................

Preffered name ..............................................................................................................

First name: ...................................................................................................................................

Middle names: ...........................................................................................................................................................................................................................

................................................................................................................................................................................

Citizenship: ....................................................................................................... Country of birth: ...................................................................................

Surname:

Skills and Qualifications 2

Languages (Other Than English)3

Volunteering History4

(if different from above)

Name:

Applicant’s permanent address:Number and street:

Contact details:

State:

.............................................................................................................................................................................................................. Suburb/town: ....................................................................................................................

.................................................................................................................. Post/zip code: ...................................................................................... Country: ..............................................................................................................................

Applicant’s mailing address: Number and street:

State:

Phone:

Other details:

................................................................................................................ Mobile: ....................................................................................................... Work Phone: .....................................................................................................................

Email: ....................................................................................................................................................................................................................................................................................................................................................................................................

foreignaid@dhoomcharity.orgwww.dhoomcharity.org

Language 1:

Language 2:

Language 3:

C.

A.

B.

A.

B.

C.

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Spoken:

Spoken:

Spoken:

Basic (B)

Medium (M)

Fluent (F)

Written:

Written:

Written:

B M F B M F

Please

Please list any other skills or qualifications,training or certificates you have attained:

list all secondary and post-secondary programs in which you have been enrolled:

e.g.

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Course/award Institution Country Year started Year completed Bachelor degree e.g. University of Melbourne e.g. Australia e.g. e.g. 2001 2005

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.................................................................................................................... ................................................................................................................. ............................................................ .................................... ......................................

.................................................................................................................... ................................................................................................................. ............................................................ .................................... ......................................

Please list all recent paid or volunteer roles:

Yes No

Yes No

Have you worked with DMC before?

Do you speak any languages other than English?

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.................................................................................................................... ................................................................................................................. ............................................................ .................................... ......................................

.................................................................................................................... ................................................................................................................. ............................................................ .................................... ......................................

Are you currently studying? No Yes If ‘Yes’, please provide details below.

Course/award Institution Country Expected date of

completion.................................................................................................................... ................................................................................................................. ............................................................ ...............................................................................

page 1 of 2

e.g.Position Organisation Country Year started Year Left

Doctor e.g. Royal Melbourne Hospital e.g. Australia e.g. e.g. 2001 2005

.............................................................................................................................................................................................................. Suburb/town: ....................................................................................................................

.................................................................................................................. Post/zip code: ...................................................................................... Country: ..............................................................................................................................

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