Graduate Application

If you have any problem, please contact us by email: or phone: +66-36-720777 ext 1120.

Section 1  Personal Information
  Please write your name as it appears on your passport.  
Given name:  
Family name:  
Middle name:   (If any)  
Date of birth:      Date format: DD/MM/YYYY . Example 25/02/1995
Country of birth:  
Marital status:    
Spouse's name:  (optional)  
Passport #     
Place of Issue    
Date of issue:   Date format: DD/MM/YYYY . Example 25/02/2011  
Date of Expiry   Date format: MM/DD/YYYY . Example 25/02/2015
Country of residence:  
Religious affiliation:  (optional)  

Example: Buddhist, Muslim, Seventh-day Adventist, etc.

Student Contact Details
  Postal address (Note: The postal address is where you are currently residing)
Postal address:      
E-mail 1
(We will send an E-mail to confirm the registration to this E-mail address.)
E-mail 2   (optional)   

Format: Country code  Area code Telephone number Ex. + 66-36-720777. If you do not have home phone,
please use any number that we can contact you.

Home phone:  
Mobile phone:  
FAX:  (optional)  
You are in section 1 .