Student Admission Form

ERC LOGO

Educational Resource Center (ERC) – International Institute

Sukhumvit 71 (Pridi Banomyong), Soi 42 (Street 4) Khlong Tan Nuea, Wattana Bangkok 10110

Tel. No. (66) 851571910 Website: www.ercthailand.info

2X2
Photo
Click to Upload

STUDENT ADMISSION FORM
FOR FOREIGNERS

Student Number (Leave blank)

Date of Application

Grade Level *

Status

If transferee, indicate previous school:

Personal Data of Student

Full Name *

Nick Name

Gender

Nationality

Date of Birth

Place of Birth

ID No./Birth Cert No. (if born in Thailand)

Passport No.

Place of Issue

Expiration Date

Visa Status

Residence Data (Home Address in Thailand)

Parents Data

Father's Information

Father's Full Name

Passport No.

Date of Issue

Expiration Date

Visa Status

Civil Status

Occupation

Work Place

Telephone Nos.

E-mail address

FB Account

Mother's Information

Mother's Full Name

Passport No.

Date of Issue

Expiration Date

Visa Status

Civil Status

Occupation

Work Place

Telephone Nos.

E-mail address

FB Account

Emergency Contact Data

Contact Person Name *

Relation

Telephone Nos.

E-mail address *

FB Account

Educational History

Level	Name & Address	Grade/Year	Honors/Awards
Kindergarten
Lower Primary (G1-3)
Upper Primary (G4-6)
Middle School (G7-8)
Junior High School (G9-10)
Senior High School (G11-12)

Agreements

I agree to the Memorandum of Agreement regarding financial obligations and non-refundable registration fees.

Permission to take photo during school activities for FB/Website:

ALLOW

NOT ALLOW

Educational Resource Center (ERC) – International Institute

STUDENT ADMISSION FORMFOR FOREIGNERS

Father's Information

Mother's Information

STUDENT ADMISSION FORM
FOR FOREIGNERS