NAUSHAWNG COMMUNITY SCHOOL

2017 January Entry

11/7 Manhkring, Myitkyina, Kachin S tate, Myanmar, Phone: +95(0)104350187, 09787618775, 09783184964:E-mail:ncsnsen@gmial.com

1. Personal Information
First Name:
Photo color
(3.5fmx4.5cm)
Do not
staple

__________________

Family Name: _____________________

Sex:
Male Female
Date of Birth: __________________

Marital Status:
Married Single
Place of Birth: _____________________

NRC Number: __________________

Ethnicity:

Fathers Name: __________________

Occupation:
___________________

Mothers Name: ___________________

Occupation:
_____________________

_____________________

Address (street):
City:

State/ Division:

Personal Contact
Number:

E-mail:

2. Education Background
Type of School

Name of School

Years Attended

Major or Degree

High School
University
Professional School
Other

3. Work Experience (list up to 2)

(I)
Name of Employer (organization):_________________________________________________
Dates of Employment:
From: _______________ To: _____________________
Complete Address: ______________________________________________________________
Phone:
______________________________________________________________
Job title:
______________________________________________________________
List the duties performed, skills used or learned, and advancements while you worked at this
organization:

Page 1 of 6

(II)
Name of Employer (organization):__________________________________________________________
Dates of employment:

From: ________________ To: _________________

Complete Address: ______________________________________________________________________

Phone:

______________________________________________________________________

Job title:

______________________________________________________________________

List the duties performed, skills used or learned, and advancements while you worked at this
organization:

4. Residence Classification
Applicants must be able to board at NCS Campus during his/ her study.

5. Language Skill
Language1

Fluent

Good

Average

Basic

Language2

Fluent

Good

Average

Basic

Language3

Fluent

Good

Average

Basic

Language4

Fluent

Good

Average

Basic

6. Financial Statement
I am a self-financed student. Or my family /organization is paying the fees for my study at NCS.
I am also applying for NCS scholarship. I would like the scholarship to cover the following:
Tuition
Accommodation Food
Class Handouts

7. Reference
Please list at least one referee who can comment on your educational background, personality and
attitude. Scholarship applicants must provide two reference letters. Reference letter(s) must be attached
to this application.
Referee#1
Referee#2
Full Name:
Organization:
Title:
Phone:
E-mail:

Page 2 of 6

8. Essay
Essay#1: What motivates(s) you to study at Naushawng Community School? Please be specific and
limit your answer to 250 words.

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Essay#2: Please provide a brief summary of your educational background, job experience, leadership
goal and accomplishment, personal qualities, and interests. Limit your answer to 250 words.

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Essay#3: (for scholarship applicant only).What would you be doing in coming two years after your
graduation at Naushawng community school- NCS? Limit your answer to 250 words.

Page 5 of 6

9. Choice of Location for Entry Examination

Where would you like to take entry examination and interview? Please select your preferred location
below:
Myitkyina Bhamo Mai Ja Yang
Laiza
Putao
Mogaung Lashio
Yangon

10. Emergency Contact

Please provide contact information of a person who can be contacted to in case of emergency.
Name:

___________________________________________________________________

Relation:

___________________________________________________________________

Complete Address: ______________________________________________________________

Phone:

_____________________________E-mail:

______________________________

11. Document Check

Academic Transcript/ Certificate
Reference Letter (s)

Essay(s)

12. Data Verification

I certify essay(s) in this application is (are) of my original work and information provided in this
application is true and complete to the best of my knowledge. If this application leads to admittance to
Naushawng Community School, I understand that any false or misleading information in my
application will result in my immediate release.

Signature:

Name:

Date:

Page 6 of 6

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