Student’s full name *

Student identification number *

Class/Year. *

-- Select --KindergartenPrimary school.Lower secondary educationUpper secondary educationVocational CertificateHigher Vocational CertificateBachelor’s degreeOther

Specify (if Other is selected)

Educational Institutions/Schools/Colleges/University *

Course/Learning Plan (if applicable).

Telephone number *

Example: 08xxxxxxxx

Email (if there)

Certificate type *

-- Select --Certification of student statusCertification of current enrolmentCertification for employment/internship.Certification for a scholarship applicationOther

Specify (if Other is selected)

Organization / destination where the certificate will be used (addressee) *

Number of copies *

Document Language. *

-- Select --Thai languageEnglish.Thai–English (bilingual)

Document delivery method *

-- Select --Collect in personReceive as a file (if supported by the system)Send by post