Kirirom Institute of Technology Scholarship Orientation
Thank you for having interest in our KIT Seminar
គោត្តនាម-នាម/Full Name *
លេខទូរស័ព្ទទំនាក់ទំនង/ Contact Number *
អ៊ីម៉ែល/ Email *
ភេទ/Sex
ទីកន្លែងកំណើត/Place of Birth
ថ្ងៃខែឆ្នាំកំណើត/Date of Birth
MM
/
DD
/
YYYY
ឈ្មោះវិទ្យាល័យ/High School Name
ឆ្នាំបញ្ចប់មធ្យមសិក្សាទុតិយភូមិ/Year of High School Graduation
និទេ្ទស / Grade
ឈ្មោះសាលាដែលកំពុងរៀន/Current School's Name
ឈ្មោះឪពុក/Father's Name
លេខទូរស័ព្ទ/Contact Number
ឈ្មោះម្ដាយ/Mother's Name
លេខទូរស័ព្ទ/Contact Number
កាលបរិច្ឆេទប្រលង/The examination date *
ជ្រើសរើសម៉ោងប្រលង/Select the Time of Examination *
Required
Submit
Never submit passwords through Google Forms.
This form was created inside of Kirirom Institute of Technology. - Terms of Service - Additional Terms