Surname (姓) (required) *
First Name (s) (名) (required) *
Home Address (家庭住址)
Telephone number (电话号码) (required) *
E-mail (邮箱) (required) *
Date of Birth (出生日期) (required) *
Place of Birth (出生地)
Nationality (国籍) (required) *
Sex (性别) (required) * MaleFemale
Parent or Guardian Information (父母或监护人信息)
Family name and initials (姓及姓名首字母大写)
Address (地址)
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Telephone no. (电话号码)
I state that all information supplied is completely accurate, and that I have ENCLOSED THE ABOVE STATED SUPPLEMENTS.(我声明所提供的所有信息完全准确,并且我已经附上了综上所述的材料。)
Date (日期)
Place (地点)
Signature (签字)
1 Copy of the Passport (护照复印件一份)
1 Copy of educational background (教育背景复印件一份)
International College, Suan Sunandha Rajabhat University. 111/5 Moo2, Tumbon Klongyong Amphur Phuttamonthon, Nakhon Pathom 73170, Thailand. WWW.SSRUIC.SSRU.AC.TH, WWW.PR.SSRUIC.SSRU.AC.TH E-mail (邮箱): SSRUIC@SSRU.AC.TH
Please attach: 1 copy of the passport. 1 Copy of educational background. (请附上:护照复印件一份;教育背景复印件一份)