Application form EN – MCU

Application Form

Semester 1 (Fall) Academic Year 2021

Part 1: Personal Particulars

Name

Date of Birth

Gender

Passport or ID Card Number

Part 2: Contact Information

Permanent Address

Residential Address

Email

Mobile Phone

Guardian information

Name

Mobile Phone

Relationship

Residential Address

Part 3: Academic Qualification

Secondary School

City/Country

Beginning from

To

Other

City/Country

Beginning from

To

Length of your educational background

Language Proficiency Results

Upload Proof of English Proficiency

Part 4: Choice of Courses

The International Programs offered by Ming Chuan University International College at Undergraduate level are:

I am applying as a

Other

Part 5: Emergency Contact - Please provide a contact in case of an emergency

Name

Relationship

Mobile phone (Country & area code required for non-Thailand number)

Email

Address

Part 6: Declaration

I declare that the information provided by me in this application is true and complete.

I understand that any inaccurate or false information provided shall render this application invalid.

I hereby authorize MCU and UTCC access to my personal information provided in the application form as well as relating to my studies during the Program.

Required document details / Bangkok Account details ( **Please find bank detail below )

Original Certificate

Notarized Certificate in English

Original Transcript

Notarized Transcript in English

Passport

Application Fee Receipt

House Registration ทะเบียนบ้าน (For Thai applicants Only)

Required Document Details / Bank Account Details

Bank Account Details

Account Name : Academis limited

Account Holder Address : 99 M.4 Ekkachai Rd., Khok Kham, Mueang, Samut Sakhon 74000, Thailand

Bank Name : TMB Bank Public Company Limited

Branch Name : Samut Sakhon

Account Number : 376-7-09954-6

Bank Address : 824/48-52 Norrasing, Mahachai, Mueang Samut Sakhon District, Samut Sakhon 74000

Swift Code : TMBKTHBK

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Bank Account Details

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Application Form