Application for Admission

A. Choice of Course (Please tick the appropriate box) E001 Certificate in Social Studies E002 Certificate in Social Entrepreneurship E003 Workshop for Strategic Management E004 Certificate in English E005 Certificate for Project Cycle Management E007 Advance Certificate Course of E002 E008 Workshop for Economics Literacy E009 Workshop for Effective Communication in Business Others B. Personal Particulars (Type or Write in Block Capital Letter) Name : NRC No : Date of Birth : Permanent Address : Contact Address : Contact Tel : Fathers Name : Mothers Name : C. Qualifications (Please tick the appropriate box) Bachelor Degree : Master Degree : Doctorate Degree : Other Qualifications D. Personal Goals (Please explain why you wish to pursue this course and what career plans you have in a separate paper). ( Not required for E-008 & E-009 ) E. Employment History Name of Company Position From To Email : Sex : Race : Place of Birth : Religion :

Please attach photo here

Year Year Year

F. Referee Name : Relationship to You : Address : Email : G. Other Information Do you have any financial difficulties? Do you need any sponsorship?
YES YES NO NO

Position : Telephone :

H. Declaration I hereby certify that to the best of my knowledge, the information furnished in this application is true and complete. I understand that if found to be otherwise, it is sufficient cause for refusal and dismissal. I also understand that if I am admitted, my admission is contingent upon my final credentials reflecting academic achievement similar to the assessment at the time of my admission. If I enroll as a student of this programme, I agree to observe all Myanmar Egress policies and regulations. I hereby consent to the release of my transcript or any other materials relevant to any admission decision made by Myanmar Egress.

Signature of Applicant : I. Checklist for Documents (Please Attach) 1. 2. 3. 4.

Date :

Application form Two photographs Photocopy of the degree certificate One essay written by the applicant (see section D)

Where documents are found to be INVALID, the board of studies will revoke the admission agreement and retain all payment made to the program. When complete, please sign, date and return the form enclosing all necessary documentation to : Myanmar Egress Office 2nd floor, Thamada Business Suite, Thamada Hotel, Yangon, Mayanmar Tel 098553183/098553184 Email : info@myanmaregress.org

Official Use Only

Processed By: Interviewed By: Comments: Status Qualify/ Not Qualify/ KIV Require Sponsorship: YES / NO Date: Date: