STUDENT APPLICATION FORM
Email address *
Please choose the Program you want to take *
Full Name (Given Name, Middle Name, Surname) *
Your answer
Nationality *
Your answer
Date of Birth (Month, Date, Year) *
MM
/
DD
/
YYYY
Passport Number *
Your answer
Address in Thailand *
Your answer
Home Address *
Your answer
Telephone Number *
Your answer
Line Number/Account Name *
Your answer
Email Address *
Your answer
Father's Name (First Name, Middle Name, Surname) *
Your answer
Nationality of Father *
Your answer
Occupation of Father *
Your answer
Mother's Name (First Name, Middle Name, Surname) *
Your answer
Nationality of Mother *
Your answer
Occupation of Mother *
Your answer
Name of person at residence in Thailand who can be contacted to give information about you (First Name, Middle Name, Surname) *
Your answer
Contact Number of the Person *
Your answer
Highest Educational Attainment (Please speacify) *
Your answer
Purposes of Attending the Course *
Your answer
Your estimated monthly expenses in Thailand while on study *
Your answer
Who is supporting you financially? *
Your answer
If not yourself, what is your relationship with that person *
Your answer
Hobbies, Likes, Interests *
Your answer
When Do You Want to Start the Course? *
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
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