Chichester Bangkok Application Form

Title *

Last Name *

First Name *

Forename 2

Date of Birth *

Gender *

Nationality *

Ethnicity *

Disability

If you are not disabled, leave it blank.

Passport Information *

Passport Number *

Passport Issue Date *

Passport Expiry Date *

Email Address *

Telephone Number *

Line ID / Social Media *

Home Address

Home Address 1 *

Home Address 2

Town / City *

Home Address 4

Home Postal code

Country of Domicile *

Current Address Same as Home Address

Current Address 1 *

Current Address 2

Town / City *

Current Address 4

Current Postcode

Current Country *

Highest Qualification *

File Upload Requirements

Accepted file formats: PDF, JPG, JPEG, PNG
Maximum file size: 10 MB per file

Passport / ID Card *

Transcript *

Certificate / Degree *

Student Declaration

I hereby confirm that the information provided herein is accurate, correct and complete. The documents submitted along with this application form are genuine. I undertake to inform the Southeast Bangkok University in writing of any changes to the information already provided and to update the information on this form whenever requested to do so by the university. Should the university finds incorrect, untrue information provided, the university holds the right to withdraw studentship as well as immigration authority from the student at all time.