Please fillup the form in English, unless specified.
Fields marked with red asterisk (* ) are mandatory
Online Application for

EXPECTED SEMESTER FOR REGISTRATION

   1st semester (August - December)   2nd semester (January - May)  

PERSONAL INFORMATION

Title:
*
First Name:
*
Middle Name:
Last Name:
*
Thai First Name:
(for Thai citizens only, please fill out in Thai Language)
Thai Last Name:
(for Thai citizens only, please fill out in Thai Language)
Nationality:
*
Religion:
*
Date of Birth:
*
Place of Birth:
City: * Country: *
Thai ID:
* (for Thai Citizen)
Passport Number:
* (for Overseas Students)

POSTAL ADDRESS

House Reg Number:
   Moo:    Soi:    (for Thai address)
House Number/Street Address:
*
District:
*
Sub-District:
   (for Thai address)
City:
*
Country:
*
Postal Code:
*
Home Phone:
Mobile Phone:
*
Fax:
Email Address:
*
Facebook ID: www.facebook.com/
Line ID:

PERMANENT ADDRESS (if different from above)

Street Address:
District:
City:
Country:
Postal Code:
Home Phone:
Mobile Phone:
Fax:

EDUCATIONAL BACKGROUND

Bachelor's Degree in:
*
Graduation Year:
*
Name of Institution:
*
District:
*
City:
*
Country:
*
Area of Specialization:
*
Grade Point Average (GPA):
*
   
Master's Degree in:
Graduation Year:
Name of Institution:
District:
City:
Country:
Area of Specialization:
Grade Point Average (GPA):

EMPLOYMENT (Most recent employment)

Employer name or organization:
*
Position:
*
Date employed:
*

ENGLISH TEST SCORES (if any)

TOEFL:
Score:    Date Tested: (Must not be later than two years)
IELTS:
Score:    Date Tested: (Must not be later than two years)
Planning to take English Proficiency Test conducted by GSeL:
      

PHOTO

Select Photo(jpg,gif,png):

SOURCE OF INFORMATION

How do you know about GSeL:
(can select more than one choice)
 )

CONFIRMATION

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please enter the text:

(note: It may has one space '_' between two words)