Yangon, Myanmar
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Application Form
No. 1 Personal Information
Name
*
Email
*
Phone Number
*
Address
*
Postal Code
*
Gender
*
Select
Male
Female
Other
Race / Ethnic Group
*
Marital Status
*
Select
Single
Married
Divorced
Place of Birth
*
Birth Date
*
Religion
*
Blood Type
*
Nationality
*
Applicant Photo
*
No. 2 Passport Information
Passport Number
*
Issue Date
*
Expiry Date
*
Passport Photo Attach
*
No. 3 Parent Information
Father's Name
*
Father's Phone Number
*
Father's Gmail
*
Mother's Name
*
Mother's Phone Number
*
Mother's Gmail
*
Occupation of Father
*
Occupation of Mother
*
No. 4 Education Information
High School Name
*
High School Address
*
Postal Code
*
Overall GPA
*
Year Attended (From - To)
*
English Proficiency Test Name
*
Score
*
Year Attended (From - To)
*
G10 / G12 / GED Certificate and Transcript
*
English Test Transcript & Certificate
*
No. 6 Applying For
Major Name
*
University Name
*
Intake
*
No. 7 General Information
Are you currently studying in another institution?
*
Select
Yes
No
Name of Institution (if Yes)
Program
*
Are you the first in your family to attend university?
*
Select
Yes
No
Have you studied secondary level in English?
*
Select
Yes
No
Do you wish to apply for an English language course?
*
Select
Yes
No
No. 8 Disability Information
Do you have a disability or long-term medical condition?
*
Select
Yes
No
If yes, type of disability
Hearing
Vision
Learning
Medical
Mobility
Other
Do you require support services?
Select
Yes
No
If yes, what kind of support do you need?
Submit Application
