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  • Integrative Functional Nutrition and Wellness Center

    Since 2013
  • Application Form

  • INSTRUCTIONS:
    (i)   All question items pertaining to the applicant MUST be filled in English only (unless required in Thai).

    (ii)  Please prepare 1 copy of your ID card (or passport) with your signature

    (iii) Please prepare 1" x 1" or larger of your frontal face color photo

    (iv) Any field with the asterisk mark (*) within the form must be completely filled

  • Please kindly fill out the application form down below and submit to us. There are 3 pages of the application form.

  • A. Details Information and Contact of the Applicants

  • ( *** Note: Gmail is highly preferable,    ถ้าท่านมี Gmail จะสะดวกที่สุดครับ ***)

  • Note: If you are currently studying and not working. Please specify your current institution instead.


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  • B.Education Qualifications of the Applicants

  • Bachelor Degree

  • Master Degree

  • PhD/Doctorate

  • Others..............

  • List any Trainings and/or courses you have successfully completed

  • Page 2/3

  • C.Personal interest and miscellaneous



  • D.File Attachment

  • Upload a File
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  • Upload a File
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  • Upload a File
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  • E.Declaration and Term of Agreement

  • I verify that all information provided is true and correct, and I provide consent for this information to be used by Integrative Functional Nutrition and Wellness Co., Ltd. (IFNW) for enrollment and auditing purposes only. I agree that the authorization and certificate upon course completion is subjected to the program director’s discretion regarding my course participation and my performance evaluation.

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    If you are ready to submit the application, please click the "Submit" button below.

    If you want to go back to revise the document, please click the "Back" button at the bottom of the application.

    เมื่อกดส่งใบสมัครแล้ว (อย่าเพิ่งปิดหน้าจอ) รบกวนรอประมาณ 10 - 15 วินาที เมื่อระบบรับใบสมัครแล้วจะขึ้นหน้าเพจยืนยันการรับสมัคร (Thank You Page) จากนั้นสามารถแคปหน้าจอยืนยัน /หรือ แจ้งชื่อนาม สกุลของผู้สมัคร ส่งให้เจ้าหน้าที่ประสานตรวจรับใบสมัครต่อไป

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