MBA Application Form Semester 1/2010

1. Personal Information

Firstname* Lastname*

ID number 

Date of Birth (dd/mm/yy)*  

Age*   Years

Race*   

Nationality*   

Religion*   

E-mail address*

 

Registered Address

No.    Moo   Soi    Road   

Sub-District

District

Province

Postal Code

Telephone No.*

Mobile Phone No.

 

Correspondence Address 

  As Registered Address    Others

No.    Moo   Soi    Road  

Sub-District

District

Province

Postal Code

Telephone No*

 

2. Educational Background
 
Degree Name Of Institution/Country Field/Branch Year of Graduation G.P.A
 High School
 Vocational Certificate
 Bachelor's Degree
 Others
 

3. Employment Information

Currently

 Working

 Not working

Monthly Income
   10,000 - 30,000 Baht   30,000 - 50,000 Baht
   50,000 - 80,000 Baht   Above 80,000 Baht
Work Experience (Previous 3)
Company/Organization Period of Work (from-to) Position Responsibility
 

4. Media Exposure

  Poster

  Newspaper

  Radio

  Booth

  Magazines

  TV Advertising

  Brochure

  Others 

Have you ever applied for post-graduate program? If so, please identify name of institution, faculty, and major
What are your expectations in joining our program?
  I hereby certify that all above information is correct and true. I fully realize that negligence or fraud in completing this application form may render it null and void, thereby, no refund, disqualifying me from being a student of Panyapiwat Institute of Technology.