‘Embassy English Student assessment sheet (HR) Applicant details Famiyname JUNGSAWANG Givon nares NAPATJUN Dateofbith 17 FEB 1992 Agent Springabroad Co., Ltd. ee Engaged a | =< No yes, how many? Yes] Not [[ttyes, state betow what wilthey do vie you study? Visa history (ERS) | i! oe ‘Yes Pasa provile a cacy of to va No Yes Psa provile copy the vs ter Nh Yes No Hye, what va are thoy of? Study choices Yest NoLl Ive, state name of the course and provider below? Yes Noo stato ame of he cours and provcer below? ‘Course Prouder While you are studying pmicare Sa senemertatct 12‘Embassy English Student to complete Pls th prepa crewers | understand the canons of my student visa and that ls my respensbily © corply wih these condos. Faluretodo so [Yes] NOC] pense may resultincancoltion of my course and student visa avo untae resaarch and am waned regarcing my couse options ard racuate outcomes. YesC]_ NOL] pose [cont that Ido ict have ary via rejoctons or beachos ov of ary sr and hat hein va Histon my famiy that [Yea] NOL] pemescy ‘could prevantma fem abiaiing ascent ven understand that lam able to werk 40 hours par orright rng semester ard hat his incomes suppimertalandcarnctbe [Yes] NOL gimme ‘ao on for ing expenses. confi tat have suien finds for my ton andiving costs andthe costs reaing fo ary dapendens tavelingwihme, | YesC]_ NOC] ewe) "undersiand that am responsbe orl turin and ung costs a ur to py my fees ray resut in course cancelation and | Yes] NOL] pemescy visa canalaten, have read and understand he retina pay. YeaL] NOC pemetet Student declaration | dckre that othe best of my knowlege he formation suppled witin hs form andthe cocumentaton syppoig itis caret and complet. Lacknowldge that ‘the proven of ese or mele nfamaton may esti nor-accaptance f this appicalon er memedate excl ram Embassy. Suientrare _ NAPATJUN JUNGSAWANG ‘Stent signature Date Agent to complete Please othe propia arsvers [have seen al inal docu and vite he authentic Yeo NOL ween [rave couse he studrt egaring the crue Sitio, va ar ervlnentconcions and os eerents, Yes NOC) pene a sae hat the stucert has afin und fr ther ton ard ng costs YeoC_NOC) pe [hae tached inarcial documentstosupeert the above statment Yes NOL ween Agent declaration 1am sats hath etudont ea gonne temporary envant ard genurwo studont a dined by tho Dopartment of nmin and Bordo Protection an rmcommre tha fr admission fo Embassy ‘Acertrane __Springabroad Co., Ltd. ‘Agpet sate Date ‘Roots averarsiogy | we MAMMRGOS ORG ce ct ‘Sturt coos chet HE 22