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If you are not a Thai Citizen, please specify your country of citizenship below : Yes No

Identification Card No. / Passport No. :

Title :

Mr. Mrs. Ms.

Name [English] :

Surname [English] :

Password :

Confirmed Password :

E-mail :

Mobile no :

I hereby certify that all statements given in this application form are true and I agree that the company could verify any of this information w ith my previous EMPLOYER(s) and any govermment agencies or institutions as required.

I accept the terms and conditions accoording to the above statement.