EBM Application – Kachinland College

Personal Information

Name *

First

Last

Please upload your portrait photo (license-photo) *

Click or drag a file to this area to upload.

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone *

Email *

Sex *

Marital Status *

Date of Birth *//

Place of Birth *

NRC Number *

Please attach a photo of your National Registration Card. *

Click or drag a file to this area to upload.

Father's Name *

Father's Occupation

Mother's Name *

Mother's Occupation

Please indicate your family’s gross income for the most recent tax year. Include both taxed and untaxed income.

Emergency Contact

Name *

First

Last

Relationship *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone *

Education Background

High School Name *

Years Attended *

Please upload your High School Certificate and Transcript

Click or drag files to this area to upload. You can upload up to 2 files.

Institute/College/University Name *

Years Attended *

Major/Degree *

Please upload your Degree Certificate. *

Click or drag files to this area to upload. You can upload up to 2 files.

Other Professional Qualifications

Please upload any supporting documents to prove your qualifications.

Click or drag files to this area to upload. You can upload up to 5 files.

Language Skill

Please rate your language proficiency level of languages mentioned in the left column. *

	Not Applicable	Basic	Average	Good	Fluent
Jinghpaw	Jinghpaw Not Applicable	Jinghpaw Basic	Jinghpaw Average	Jinghpaw Good	Jinghpaw Fluent
Other Kachin Languages	Other Kachin Languages Not Applicable	Other Kachin Languages Basic	Other Kachin Languages Average	Other Kachin Languages Good	Other Kachin Languages Fluent
Burmese	Burmese Not Applicable	Burmese Basic	Burmese Average	Burmese Good	Burmese Fluent
English	English Not Applicable	English Basic	English Average	English Good	English Fluent
Chinese	Chinese Not Applicable	Chinese Basic	Chinese Average	Chinese Good	Chinese Fluent
Other	Other Not Applicable	Other Basic	Other Average	Other Good	Other Fluent

Please list other proficient languages of yours:

Work Experience

Past Employment

List the job, your title, description, hours per week, and dates of employment.

Community Service Work

List the type of work, your role, and hours per week of involvement.

Talents and Awards

List each, a description, the level, and number of years of involvement.

Attach an additional document if necessary.

Click or drag a file to this area to upload.

Personal Motivational Letter

Write your reasons for applying for the Entrepreneurial Business Management Programme (EBM). No More Than 2 pages in English or Jinghpaw or Burmese

Upload your motivational letter *

Click or drag a file to this area to upload.

Reference 1

Name *

First

Last

Title *

Organisation *

Phone *

Email

Upload Reference Letter 1

Click or drag a file to this area to upload.

Reference 2

Name *

First

Last

Title *

Organisation *

Phone *

Email

Upload Reference Letter 2

Click or drag a file to this area to upload.

Agreement

I understand that this application is for admission only for the term indicated. I agree that I am bound by the College’s regulations concerning application deadlines and admission requirements. I certify that this information is complete and accurate. I understand that making false or fraudulent statements within this application will result in disciplinary action, denial of admission and invalidation of credit earned. If admitted, I agree to abide by the policies and the rules and regulations of the College. Should any information change prior to my entry into the College, I will notify the Administration Office . I understand that the application fee I submit with this application is a non-refundable fee.

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 College are available to all without regard to race, colour, marital status, sex, religion, disability, age in accordance with the College’s respect for personal dignity and diversity.

Medical Check-up (After Provisional Admission)

Once the provisional admission was received, the applicant needs to submit medical check-up report that covers lab test result of HIV, Hepatitis B, Hepatitis C and Tuberculosis and the record of vaccination for Hepatitis B. The final admission decision will be based on the completion of the fulfilment of the documents.

Home » EBM Application

Personal Information

Emergency Contact

Education Background

Language Skill

Work Experience

Personal Motivational Letter

Reference 1

Reference 2

Agreement

Medical Check-up (After Provisional Admission)