INFORMATION SHEET

(to be sent to Institution you are applying to)

Last Name: HMONE First Name: EI WIT

Nationality: Myanmar Date of Birth: 23 Apr 1995 (dd/mm/yyyy)
Sex: Male Female Age:   

Home Address:
Street: NgaMin Village, Maung Tai Street
City: TaungDwinGyi
State/Province: Magway
Home Country: Myanmar Post Code: 15014
Home Phone: +959 969802250
Mobile: +959 758566697
Email: eiwithmone1995@gmail.com

Current Address:
Street: YeikThar Street
City: Yangon
State/Province: Thangangyun
Current Country: Myanmar Post Code: 11071
Phone: +959 969802250
Mobile: +959 758566697
Email: eiwithmone95@gmail.com, eiwithmone1995@gmail.com

Office Address:
Street: Yadana Road,
City: Yangon
State/Province: Thingangyun
Business Country: Myanmar Post Code: 11071
Office Phone: +959 977856677 Fax No:      
Mobile: +959 977636045
Office Email: info@agri.goldenhillholdings.com

Proposed Study Plan:

Degree: Master Degree
Field of Study: Agribusiness Management
Expected Commencement Date:         (dd/mm/yyyy)
Are you applying to other Institutions? If so, which? Yes No
Name of Institution:      

Academic Background (include course you are currently enrolled in, if applicable):
Degree Obtained: Bachelor of Agricultural Science
Field of Study: Agricultural Economics
Year Started: 2011 Year Completed: 2016
Name of Institution: Yezin Agricultural University Location:      
Language of Instruction Used: English
Honor(s) received: Qualified
     
 Degree Obtained:      
Field of Study:      
Year Started:      Year Completed:     
Name of Institution:       Location:      
Language of Instruction Used:      
Honor(s) received:      
     

Have you been awarded an ADB-JSP Scholarship? Yes No

Degree:      
Field of Study:      
University:      
Awarded Period (Month & Year) From:      To:     

English Proficiency Reading Writing Speaking

Pr Very Good of
es Good sio
nal
Fair
History:

Present Employer:
Position: Project Development Coordinator
Company: Golden Hill AgriTech Co.,Ltd
Nature of Work: Agribusiness Development Enterprise
Industry: Agriculture
Products/Services: Producing Value-added products
Sector: International Organization Private Public Non-profit
Date of Employment (Month & Year) From: Feb 2020 To:     
Annual Salary (in US$): 3840 USD
Annual Family Income (in US$): -

(Please attach your latest Certificate of Employment indicating Annual Salary/Monthly Salary with signature/stamp. For Annual Family Income, submit Certificate
of Employment of both parents/spouse (if married). For parents who are retired, deceased or unemployed, kindly submit Certificate issued by a local agency,
company or government with signature/stamp whichever is applicable.)

Position: Intern
Company: United Nations of Food and Agriculture Organizations
Nature of Work:      
Date of Employment (Month & Year) From:      To:     
Annual Salary (in US$):      
Previous Employers: Begin with your most recent employment excluding present employer. Use separate sheet if the space provided is not sufficient.
Position: Assistant Programme Officer
Company: Department of Planning
Nature of Work: Government
Date of Employment (Month & Year) From: Apr 2017 To: Oct 2019
Annual Salary (in US$): 1532 USD

Position:      
Company:      
 Nature of Work:      
Date of Employment (Month & Year) From:      To:     
Annual Salary (in US$):      

Position:      
Company:      
Nature of Work:      
Date of Employment (Month & Year) From:      To:     
Annual Salary (in US$):      

Position:      
Company:      
Nature of Work:      
Date of Employment (Month & Year) From:      To:     
Annual Salary (in US$):      

Total Work Experience: Year(s):    & Month(s):    Year(s) in Supervisory Level:    (if applicable)

While the Scholarship will provide most of your financial requirements during the study period, what other additional resources do you
have if you may need them?
     

Why do you want to undertake this particular area of study at this institution?
     

(Attach copies of academic records and mail this form to the institution where you wish to study. The institution will advise you whether or not your application
qualifies for further screening.)