EBM Application Please enable JavaScript in your browser to complete this form.Personal InformationName *FirstLastPlease upload your portrait photo (license-photo) * Click or drag a file to this area to upload. Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedonia (Republic of)MadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwan, Province of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States of AmericaUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)Viet NamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweCountryPhone *Email *Sex *MaleFemaleMarital Status *SingleMarriedDivorcedWidowedDate of Birth *MM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Place 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 OccupationMother's Name *Mother's OccupationPlease indicate your family’s gross income for the most recent tax year. Include both taxed and untaxed income.Below 3,500,0003,500,001 - 5,000,0005,000,001 - 10,000,00010,000,000 and aboveEmergency ContactName *FirstLastRelationship *Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedonia (Republic of)MadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwan, Province of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States of AmericaUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)Viet NamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweCountryPhone *Education BackgroundHigh 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 QualificationsPlease 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 SkillPlease rate your language proficiency level of languages mentioned in the left column. * Not ApplicableBasicAverageGoodFluent JinghpawJinghpaw Not ApplicableJinghpaw BasicJinghpaw AverageJinghpaw GoodJinghpaw FluentOther Kachin LanguagesOther Kachin Languages Not ApplicableOther Kachin Languages BasicOther Kachin Languages AverageOther Kachin Languages GoodOther Kachin Languages FluentBurmeseBurmese Not ApplicableBurmese BasicBurmese AverageBurmese GoodBurmese FluentEnglishEnglish Not ApplicableEnglish BasicEnglish AverageEnglish GoodEnglish FluentChineseChinese Not ApplicableChinese BasicChinese AverageChinese GoodChinese FluentOtherOther Not ApplicableOther BasicOther AverageOther GoodOther Fluent Please list other proficient languages of yours:Work ExperiencePast EmploymentList the job, your title, description, hours per week, and dates of employment.Community Service WorkList the type of work, your role, and hours per week of involvement.Talents and AwardsList 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 LetterWrite your reasons for applying for the Entrepreneurial Business Management Programme (EBM). No More Than 2 pages in English or Jinghpaw or BurmeseUpload your motivational letter * Click or drag a file to this area to upload. Reference 1Name *FirstLastTitle *Organisation *Phone *EmailUpload Reference Letter 1 Click or drag a file to this area to upload. Reference 2Name *FirstLastTitle *Organisation *Phone *EmailUpload Reference Letter 2 Click or drag a file to this area to upload. AgreementI 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. WebsiteSubmit