Application Form for MIDB

Please identify your role before filling in this form

I am filling this form for myself as an applicant.I am filling this form on behalf of an applicant.I am filling this form as a representative/agency of RSU.
*Please input data in English ONLY*
SECTION A

APPICANT'S DETAILS
NAME*

First NameMiddle NameLast Name
SEX*

MaleFemale
DATE OF BIRTH*

DayMonthYear
NATIONALITY*
Type a question
PLACE OF BIRTH
ID NUMBER (THAI ONLY)
STATUS*

SingleMarriedOther
PASSPORT NUMBER*
ISSUE DATE*

DayMonthYear
EXPIRATION DATE*

DayMonthYear
SECTION B

APPLICANT'S CONTACT DETAILS
EMAIL ADDRESS*
TELEPHONE NUMBER*
LINE ID or WHATSAPP or QQ NUMBER
for rapid contact
APPLICANT'S CONTACT ADDRESS*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
SECTION C

HIGHEST EDUCATION / QUALIFICATION
QUALIFICATION / INSTITUTE / COUNTRY*
YEAR OF GRADUATION*
ARE YOU A FORMER RSU STUDENT?

YesNo
TERM/YEAR LAST ATTENDED (RSU)
ACADEMIC YEAR YOU WANT TO APPLY FOR*

June 2024 (Pre-Sessional), Aug 2024 (Classes starts)
1- INCH PHOTO*

Upload a File

Cancelof
COPIES OF APPLICANT’S PASSPORT*

Upload a File

Cancelof
COPY OF ORIGINAL TRANSCRIPT OF UNIVERSITY *

Upload a File
Official English translation copies of required documents if originals are not in English. Cancelof
COPY OF ORIGINAL CERTIFICATES/DEGREES*

Upload a File
Official English translation copies of required documents if originals are not in English. Cancelof
ENGLISH PROFICIENCY LEVEL (IF KNOWN)
PROOF OF ENGLISH PROFICIENCY LEVEL, e.g., TOEFL/IELTS/TOEIC (IF ANY)

Upload a File

Cancelof
DO YOU NEED VISA FOR STUDY IN THAILAND*

YESNO
VISA SUBMISSION PLACE (PLEASE SELECT COUNTRY AND CITY)*
IF YOU KNOW ANY PERSON IN RANGSIT UNIVERSITY, PLEASE GIVE NAME and STUDENT/STAFF ID (IF ANY)
AWARD CODE (IF ANY)
SECTION E

ASSISTANT'S DETAILS
ASSISTANT'S NAME*

First NameMiddle NameLast Name
RELATION TO APPLICANT*

ParentsFamily membersRelativesOther
ASSISTANT'S EMAIL*
example@example.com
Phone Number*

Area CodePhone Number
Which postal address should be used for correspondence of documentation?*

Address as in SECTION BPlease send documents to the address as following
POSTAL ADDRESS CORRESPONDENCE OF DOCUMENTATION*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
SECTION E

RSU'S REPRESENTATIVE DETAILS
REPRESENTATIVE'S NAME*

First NameMiddle NameLast Name
REPRESENTATIVE'S EMAIL*
example@example.com
Phone Number*

Area CodePhone Number
POSTAL ADDRESS CORRESPONDENCE OF DOCUMENTATION*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
REMARKS
How you know about Rangsit University International College?

WebsiteFacebookGoogleOther
CONFIRMATION*

I hereby certify that I have provided accurate information on this application and submitted genuine supporting documents. I understand that any misrepresentations or omission of facts in my application may justify denial of admission, cancellation of admission or withdrawal from the program.With Reference to the No Refund of Tuition Fees for New Applicants in the Academic Year 2022, I hereby agree that if I have completed the payment of registeration and enrollment fees of the semester, and is wishing to request for resignation, to transfer to another faculty, or to completely resign, I shall not receive a refund for all the amount paid. This refund policy shall apply if I register either as flat-rate tuition or as credit-rate tuition fee.
CONFIRMATION*

I hereby certify that I have provided accurate information on this application and submitted genuine supporting documents. I understand that any misrepresentations or omission of facts in my application may justify denial of admission, cancellation of admission or withdrawal from the program.With Reference to the No Refund of Tuition Fees for New Applicants in the Academic Year 2022, I hereby agree that if I have completed the payment of registeration and enrollment fees of the semester, and is wishing to request for resignation, to transfer to another faculty, or to completely resign, I shall not receive a refund for all the amount paid. This refund policy shall apply if I register either as flat-rate tuition or as credit-rate tuition fee.
Should be Empty:

SECTION A

SECTION B

SECTION C

SECTION E

SECTION E