Outbound Student Application Form

Outbound Exchange Student Form

Applicant profile

Some description about this section

Title

Firstname

Lastname

Gender

Nationality

Other

Date of birth

Place of birth

Student ID

Passport Number

Passport expiry

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Mobile Phone Number

Image Profile Upload

Choose File

Study Information

Some description about this section

Academic Year

Faculty/College

Department

Field of Study/Research

GPA

Degree

School year

Upload Transcript

Choose File

Languages

Some description about this section

English skill

Repeater Field

Other Languages	Level

Program to join

Some description about this section

Program

Begin date

End date

Home Institution

Host Institution

Research Topics

Host supervisor

Purpose and plan

Some description about this section

Purpose to join

Study/Research plan

Brief self introduction

Food allergies

Contact person

Some description about this section

Contact name

Contact relationship

Mobile Phone Number

REQUESTED FILE BY HOST UNIVERSITY เช่น อีเมลตอบรับ, CV

Choose File

Consent notice

Consent Form for Collection/Use/disclosure of Personal Data.
KMITL takes your privacy seriously. To achieve this purpose, KMITL would like to ask for your consent to allow KMITL and host university to collect use and/or disclose your personal data obtained from you or other sources for the purposes of selecting applicants for an exchange abroad