Application Form for MIDB

Please identify your role before filling in this form
*Please input data in English ONLY*
SECTION A

APPICANT'S DETAILS
NAME

First NameMiddle NameLast Name
SEX
DATE OF BIRTH

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

Other
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?
TERM/YEAR LAST ATTENDED (RSU)
ACADEMIC YEAR YOU WANT TO APPLY FOR
1- INCH PHOTO

Upload a File

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COPIES OF APPLICANT’S PASSPORT

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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

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DO YOU NEED VISA FOR STUDY IN THAILAND
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

Other
ASSISTANT'S EMAIL
example@example.com
Phone Number

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

Other
CONFIRMATION

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

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