faith academy

314 Lawibual, Tedim

Chin State, Myanmar

SUMMER ENGLISH SCHOOL

APPLICATION FORM 2023 – 10,000 Kyats

Full Name: ____________________________________
Sex: ____________________________________ ID Photo
Age: ____________________________________ Here

Date of Birth: ____________________________________
Place of Birth: ____________________________________
Address: ____________________________________
Contact Number: ____________________________________

Academic Experience: ____________________________________

Mother Church: ____________________________________
Name of Pastor: ____________________________________
Are you born again? ____________________________________

FATHER MOTHER
Full Name: Full Name:
Occupation: Occupation:
Phone Number: Phone Number:

How many brothers & sisters do you have? ____________________________________

Have you attended Summer English School at Faith Academy before? ___________
If “Yes” when? ___________

Student’s Signature ____________________ Date _________________

For official use only

Student ID _________________ Date of Acceptance _________________