KSAS JCF and PMP Application 2019 Please enable JavaScript in your browser to complete this form. - Step 1 of 8Which programme do you apply for? *Junior College Foundation - 1 yearPost-Matriculation Programme - 6 monthsName *FirstLastPlease attach a recent passport-sized photography of yours. *Date of Birth *MM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920GenderMaleFemalePlace of Birth *AddressAddress Line 1Address Line 2CityState / Province / RegionPostal CodePhone *Emergency ContactName *FirstLastRelationship *Address *Address Line 1Address Line 2CityState / Province / RegionPhone *NextApplicants are requested to provide the following information voluntarily. This information will not be utilized in a discriminatory manner.Native Language (s)ReligionNextHigh School InformationHigh School Name *High School Graduation Year *High School AddressAddress Line 1Address Line 2CityState / Province / RegionAttach the scan of your high school certificate or transcript.Other EducationName of Institution/SchoolProgrammeYear of GraduationInstitution Address Address Line 1Address Line 2CityState / Province / RegionAttach the certificateNextPlease provide the names of people in your immediate family who have attended or attending the Kachinland School of Arts and Sciences.NameFirstLastRelationshipNameFirstLastRelationshipNextHave you ever joined any of the programmes in Kachinland School of Arts and Sciences? *YesNoIf YES, please specify which programme and date: *NextDo 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? *YesNoIf yes, please provide all relevant information on a separate sheet of paperAttach the relevant medical documentsNextReferencesPlease 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 1Address Line 2CityState / Province / RegionPhone *Attach the reference letter *NextAgreementI 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.NameSubmit