APPLICATION FORM

Application Instructions
1. Give your full legal name (no initials or abbreviations). The name listed on this application should be used consistently in all of your official relations with Chanapatana International Design Institute.
2. This application use email as an identifier. Give your current and usable email. This email will be used to confirm your application fee payment.
3. Fill in all the required fields.

Program*
Schedule*

PERSONAL INFORMATION

ข้อมูลภาษาไทย
นายนางนางสาว

ชื่อ*
นามสกุล*
ชื่อเล่น
English Information
Mr.Mrs.Ms.
Name*
Lastname*
Nickname
Email*
Mobile Number*
Birth Date*
Month*
Year*
Nationality
Religion
Marital Status
SingleMarriedDivorced
No. of Children
ID Number
Passport Number

CONTACT INFORMATION

Permanent Address

Address
Telephone No.
Fax No.
Present Address
Address
Telephone No.
Fax No.
Company Address
Address
Telephone No.
Fax No.
Preferred Contact Address
Permanent AddressPresent AddressCompany Address
Emergency Contact
Relationship*
Name*
Lastname*
Address
Mobile No.*
Email*
Telephone No.
Fax No.

ACADEMIC RECORDS

Secondary
Location
Year Attended
Degree Name / Major
Vocational
Location
Year Attended
Degree Name / Major
High Vocational
Location
Year Attended
Degree Name / Major
Bachelor Degree
Location
Year Attended
Degree Name / Major
Other
Location
Year Attended
Degree Name / Major

EMPLOYMENT RECORDS

COMPANY
Company Name
Position Held
Date (Month/Year)
Salary (Baht/Month)
Address
Telephone No.
COMPANY
Company Name
Position Held
Date (Month/Year)
Salary (Baht/Month)
Address
Telephone No.
COMPANY
Company Name
Position Held
Date (Month/Year)
Salary (Baht/Month)
Address
Telephone No.

OTHERS

Achievements


Skills / Other Abilities


Hobbies


AGREEMENT

I understand that:

1) Application fee is refundable only if 1st semester tuition is fully paid.

2) Registration fee and any advance payment are non-refundable.

3) Tuition fees do not include books/equipment and/or other materials required to undertake the program or compulsory activities where relevant (such as fieldwork, excursions or laboratories).

I understand that to the best of my knowledge the information supplied in the application and the documentation supporting my application is correct and complete. I acknowledge that the withholding of information and provision of incorrect documentation relating to my application may result in cancellation of any offer or enrollment by Chanapatana Inernational Design Institute.

I hereby agreed to the terms and conditions.