APPLICATION FORM
SHAWK SHAWN HKRANG
KACHIN THEOLOGICAL COLLEGE & SEMINARY
COLLEGE OF LIBERAL ARTS PROGRAM (CLAP)
Please include TWO
(2´´ x 2.5´´) recent
Photographs of yourself
Enrollment Information Attach one here and
enclose the second.
(Jawng mying bang ai hte seng ai lam) Sumla Shakap Na
Date (Nhtoi) ____________________
Degree Applied:
Sharin la na Janmau:
Bachelor of Arts in English Language Studies Bachelor of Arts in Music
Bachelor of Arts in Community Development Bachelor of Church Music
Diploma in Computer Application Diploma in Education
Diploma in Business Administration Others_ _ _ _ _ _ _ _ _ _ _ _ _ _
Anticipated Academic Year______________ On Campus Off Campus
Jawng Shang Mayu ai Shaning Jawngwang kata Jawngwang shinggan
Personal Information (Tinang Hte Seng Ai Lam)
Please Print in BLOCK Letters (Laika Hkum KABA hte Ka Jahpring Ya Rit)
Name__________________________________________________________________________
Mying Family Name (Htinggaw Mying) Given Name (Shaga Mying)
Date of Birth _______________________________ Place of Birth: __________________________
Shangai Nhtoi Shangai ai shara
NRC Number/ID_____________________________Telephone: ____________________________
Mungchying Masat
Sex Male (La) Female (Num) Email: ___________________________
Num / La
Parents’ Name____________________________________________________________________
Kanu Kawa Mying Kawa Mying Kanu Mying
Permanent Address_________________________________________________________________
Hkringdat Madung
_______________________________________________________________________________
Contact Address __________________________________________________________________
Matut Mahkai Mai Ai Hkringdat
_______________________________________________________________________________
_______________________________________________________________________________
Kachin Theological College & Seminary Application Form (CLAP) - 2
Marital Status (Dinghku Hte Seng Ai Lam)
Single (Sumpren) Married (Dinghku De) Widow /Widower (Gaida / Shingkra)
Spouse’s Name ____________________________________________________________________
Ningrum Ningtau a Mying
Spouse’s Occupation _______________________________________________________________
Ningrum Ningtau a Magam Bungli
Number of Children___________________________________________________________________
Kasha Gade Lu Ai Son (La) Daughter (Num)
Have you ever had serious illness or injury? No Yes, If Yes Explain: _________________
Nang hta laja lana machyi ai hkrum sha yu nni? Nga ai rai yang tsun dan rit:
__________________________________________________________________________________
Have you ever been addicted to any drugs? No Yes, If Yes Explain: _________________
Nanghpam malu masha yin kap yu nni? Kap yu ai rai yang tsun dan rit:
__________________________________________________________________________________
Have you ever been refused admission by or dismissed from a theological or other school?
Chyum Jawng (sh) Jawng langai ngai kaw nna shapraw / n hkap la ai hkrum yu nni?
No Yes, If Yes Explain; _________________
Hkrum yu ai rai yang tsun dan rit:
__________________________________________________________________________________
Have you ever committed any crime? No Yes If Yes Explain; _________________
Mung up Asuya hte nhtan shai ai mara galaw shut yu nni?Shut yu ai rai yang tsun dan rit:
__________________________________________________________________________________
Education History (Hpaji Hte Seng Ai Lam)
Percentage/ Accredited
Date Year Passed/
Name of High Letter Grade/ by
Attended Degree Graduated
School/Seminary/College GPA (Masat Ya Ai
(Lung Hpang (Janmau) (Awng Pru
(Jawng Mying) (Masat Shadang Wuhpung
Ai Shaning) Shaning)
Laika Hkum) Wuhpawng)
Note: Transcripts and Certificates of your previous academic achievements are required for admission.
Photo copy of Transcripts and Certificates must be including in this application.
(Jawng Awng Lekmat hte Transcripts kanan ni hpe ndai hpyi shawn laika hte hpawn shagun ya rit.)
Kachin Theological College & Seminary Application Form (CLAP) - 3
Medical Certificate (Hkamja Lam Madi Shadaw Laika)
Basic Information
Applicant’s Name: _________________________________________________________________
Gender: Male Female
Date of Birth ____________________________________________________________________
Height: _____________________________ (ft) Weight ____________________________(lb)
Blood Type: ________________________ General Appearance: ______________________________
Required Laboratory Tests
Hepatitis A_____________________________ Hepatitis B_________________________________
Hepatitis C_____________________________TB ______________________________________
Chest X-ray ____________________________HIV ______________________________________
The applicant has the following abnormal conditions not mentioned above: ________________________
_______________________________________________________________________________
_______________________________________________________________________________
Examining Physician ________________________________________________________________
License No.______________________________________________________________________
Address _________________________________________________________________________
Note: Attach Original Lab Result Paper.
Matsing: Tsi Jep Ai Mahtai Laika Majing Hpe Shalawm Bang Ya Rit. Ndai Laika N lawm Ai Ni Hpe Jawng Hkapla
Na N rai.
Kachin Theological College & Seminary Application Form (CLAP) - 4
Financial Guarantee (Karum Gumhpraw A Matu Ga Sadi Laika)
Applicant’s Name: __________________________________________________________
Hpyi Shawn Ai Wa A Mying Htinggaw Mying Shaga Mying
Degree Applied:
Sharin la na Janmau:
Bachelor of Arts in Music Bachelor of Arts in English Studies
Bachelor of Arts in Community Development
Diploma in Computer Application Diploma in Education
Diploma in Business Administration Others_ _ _ _ _ _ _ _ _ _ _ _ _ _
Financial Supporter (Karum Gumhpraw Madi Shadaw Ai Wa)
Name (Mying) _______________________________________________________________________
Address (Hkringdat)____________________________________________________________________
Phone____________________________________ Email_____________________________________
Job (Magam Bungli) ____________________________________________________________________
Spouse’s Name (Madu Jan/Wa a Mying) _____________________________________________________
I gurantee to give financial supports to the above-mentioned applicant during his/her studies in Kachin
Theological College and Seminary.
JinghpawWunpawng Chyum Dakkasu a Hpaji sharin la nga ai, lahta e tsun da sai jawng lung na matu hpyi shawn ai
jawngma hpe karum gumhpraw madi shadaw na matu ga sadi jaw da nngai law.
Total Amount for one year (MMK) _____________________ for_________________ years
Karum na gumhpraw: Laning mi hta (MMK) hte ning a matu
Signature (Lata Masat) ________________________________ Date (Nhtoi) ________________________
Kachin Theological College & Seminary Application Form (CLAP) - 5
Autobiographical Essay (Madu A Ahtik Labau)
For CLAP (CLAP shawk ai ni a matu)
DescribeYour Life Story and Purpose of Study at KTCS
(Na A Asak Hkrung Lam Labau The KTCS Hta Jawng Lung Ai A Yaw Shada Lam)
Requirements
- ONLY A4 Blank Paper (A4 Laika Maisau Pa)
- ONLY Type-Written (Computer hte Type na)
- Single space (Font : Times New Roman / Size-12)
- Between 400-500 words (Gasi 400-500 lapran rai na)
Final Statements and Applicant Signature
I understand and accept that submission of this application does not imply my acceptance as a student,
and KTCS retains the right to refuse my application in its sole discretion without further obligation to me. I
hereby agree that references are given in confidence as a part of this application procedure and are the
confidential property of KTCS, and I waive the right to see them.
I certify again that the information contained within this application is truthful and accurate to the best
of my knowledge. I understand that if any information provided in my application is determined to be false or
misleading, my application may be invalidated. I further understand that this could result in a rejection or
revocation of an offer of admission or registration to Kachin Theological College and Seminary.
Lahta e ngai tang madun ai lam ni yawng tengman ai hte jaw sai re ngu ngai sakse hkam nngai. N jaw n ang ai
hte masu magaw ai lam ni lawm ai rai yang, Chyum Dakkasu kaw nna ndai hpyi shawn laika hpe ningdang kau na
ahkang nga ai hpe chye na myit hkawn nngai.
Ndai hpyi shawn laika hpe Chyum Dakkasu de tang madun ngut ai hpang Jawngma Hkap La Komiti the
Sharin Sara Kongsi a hkap la / n hkap la, dawdan ai lam hpe hkam la na ngu ga sadi jaw nngai.
___________________________________ ______________________________________
Applicant’s Signature (Ta Masat) Date (Nhtoi)
Kachin Theological College & Seminary Application Form (CLAP) - 6
Application Check Lists
Hpyi Shawn Laika Hta Lawm Ra Ai Lam Ni
Two copies of recent photo (2´´ x 2.5´´ size). One is to be attached to the application form.
(Shata mi laman dem da ai sumla (2) rai na. (1) gaw jawng shang hpyi shawn hkrang kaw shakap na)
High school / college certificates (copy). Certificate (Original) must be shown in the interview
process. Dakkasu jawng shang sanpoi awng lakmat/ Janmau lakmat Kanan ni hpe shalawm na, Ajet
(Orginal) ni hpe interview ten hta madun ra ai).
Health Certificate
(Hkamja lam hte seng ai madi shadaw laika)
Financial Guarantee
(Karum Gumhpraw a matu ga shadi laika)
Recommendation from Church (or) Organization
(Buga Hpung (sh) Wuhpung Wuhpawng kaw na madi shadaw laika)
Autobiographical Essay
(Madu a Ahtik Labau)
Note (Matsing)
The due date of submission is January 31. The application deadline can be change due to
unpredictable circumstance
(January31 ya shani jahtum hkap la na, aten masa hta hkan nna form jahtum hkap la ai lam shai nga
na.)
Late or incomplete application will not be considered.
(Hpang hkrat ai, n hkum tsup ai hpyi shawn laika ni hpe n hkap la na)
Admission fee Ks.5000/-
(Jawng shang manu Lap 5000/- hpe jawng shang sanpoi htai ai shani jaw ra na)
Send the Application to;
Shagun ya na hkringdat;
Director of Admissions & Financial Aids Department
Kachin Theological College & Seminary
P.O.Box. 02 Nawng Nang, Sumpra Bum Street,
Myitkyina 01011, Kachin State, Myanmar
Ph: 09666210888 (Admission Director)
Ph: 0947002067, 0947028278 (Office)
For Office Use Only
Applicant’s name: Date of form received:
Degree Applied:
Application Status: Complete Partial Not Processed
Not Processed
Admission Status: Admitted Not Admitted
