KSAS Programme Application 2019 Monsoon

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 *//

Sex *

Marital Status *

Place of Birth *

Age *

Father's Name *

Mother's Name *

NRC Number

Upload your scanned copy of NRC or Birth Certificate *

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 *

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

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

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

1. I certify that all statements made by me on this form are accurate. I understand that any inaccurate or false information (or omission of information) will render this application invalid and that, if admitted on the basis of such information, I may be required to withdraw from the School. 2. I understand that I will need to attend Classes and engage in school activities from 8:30am to 5:00pm (Monday – Saturday) during the course of study and abide the rules and regulations of the School. 3. I, hereby, agree to install at least 50% of my school fee as I enroll at the school, and complete it by the third month of the school term. I will, together with my guardian, see the School Operation Team if I have financial concern and assistance.

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.