สำนักงานความร่วมมือพัฒนาเศรษฐกิจกับประเทศเพื่อนบ้าน (องค์การมหาชน) (สพพ.)

Personal Data

Title (choose one of the following)

Mr.

Mrs.

Ms.

Contact Information

Office

Home

Contact Person in Emergency

Job Record (After Graduation)

1

Period

Please upload only Pdf files. Maximum size 10 MB

Add Resume

Educational Qualifications

1

Period

Please upload only Pdf files. Maximum size 10 MB

Add Educational

Other Information

Language Skills

1) Language to be used in the program:

English
Listening	Speaking	Reading	Writing

Certificate (if any)

TOEFL

TOEIC

2) Mother Tongue

Mother Tongue
Listening	Speaking	Reading	Writing

3) Other languages

Other languages
Listening	Speaking	Reading	Writing

Food Restriction (if any)

Room type

Non-smoking room

Smoking room

Declaration and Signature

I declare the information contained in this application as true and correct.

Date

Please fill the medical report form in the next page

Return Applicatio

To accelerate the application form return procedure, please send all application materials via email to [email protected]

Copy of Passport

Please upload only Pdf files. Maximum size 10 MB

Delegation Letter

Please upload only Pdf files. Maximum size 10 MB

Medical Report (To be completed by applicant)

Name of Applicant:

Age:

Sex:

Height:

Weight:

1. Present Medical Status

(a) Do you currently use any medicine or have regular medical checkup by a physician for your illness?

No

Yes

(b) Are you pregnant?

No

Yes

weeks/months

(c) Are you allergic to any medication or food?

No

Yes

2. Medical History

(a) Have you had any chronic health disease or significant/serious illness?

No

Yes, Please specify

(b) Have you ever been a patient in a mental clinic or been treated by a psychiatrist?

No

Yes, Please specify

3. Other Medical Problems: If you have any medical problems that are not described above, please indicate below.

4. Please upload Medical certificate.

Please upload only Pdf files. Maximum size 10 MB

I certify that I have read the above instructions and answered all questions truthfully and completely to the best of my knowledge.

I understand and accept that expense on medical treatment (for any treatment such as injury, health problems, chronic health disease, etc.) is my responsibility. NEDA will only cooperate with insurance agency and proceed claim procedure.

Signature of Applicant

Date

22 พฤศจิกายน 2567

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E-Service

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