KSAS JCF and PMP Application 2019

Which programme do you apply for? *

Junior College Foundation - 1 year
Post-Matriculation Programme - 6 months

Name *

First

Last

Please attach a recent passport-sized photography of yours. *

Date of Birth *//

Gender

Place of Birth *

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Phone *

Emergency Contact

Name *

First

Last

Relationship *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Phone *

Applicants are requested to provide the following information voluntarily. This information will not be utilized in a discriminatory manner.

Native Language (s)

Religion

High School Information

High School Name *

High School Graduation Year *

High School Address

Address Line 1

Address Line 2

City

State / Province / Region

Attach the scan of your high school certificate or transcript.

Other Education

Name of Institution/School

Programme

Year of Graduation

Institution Address

Address Line 1

Address Line 2

City

State / Province / Region

Attach the certificate

Please provide the names of people in your immediate family who have attended or attending the Kachinland School of Arts and Sciences.

Name

First

Last

Relationship

Name

First

Last

Relationship

Have you ever joined any of the programmes in Kachinland School of Arts and Sciences? *

Yes
No

Do you have any disabilities (including but not limited to chronic illnesses, communicable diseases, mental illness, colour blindness, visual or other physical constraints or limitations) which may or may not cause you to require special assistance of facilities while studying at the School? *

Yes
No

If yes, please provide all relevant information on a separate sheet of paper

Attach the relevant medical documents

References

Please provide below the details of your referee. Please note that reference have to be in Jinghpaw, English or Burmese. Current students do not need to submit the reference letters.

Name of Referee *

Position *

Address of Organisation *

Address Line 1

Address Line 2

City

State / Province / Region

Phone *

Attach the reference letter *

Agreement

I understand that this application is for admission only for the term indicated. I agree that I am bound by the KSAS’ regulations concerning application deadlines and admission requirements. I agree to the release of any transcripts and test scores to this institution. I certify that this information is complete and accurate. I understand that making false or fraudulent statements within this application or residency statement will result in disciplinary action, denial of admission and invalidation of credit or diploma earned. If admitted, I agree to abide by the policies, the rules and regulations of the School. Should any information change prior to my entry into the School, I will notify the Office of Admissions.

Do you understand and agree to the terms listed above? *

Yes, I understand and agree to the terms listed above.

Events, activities, programs and facilities of the Kachinland School of Arts and Sciences are available to all without regard to race, marital status, sex, religion, ethnic origin, disability, age in accordance with the School’s respect for personal dignity.