RUA Students

ROYAL UNIVERSITY OF AGRICULTURE

Student Application

I. Personal Details

Upload recent digital color passport photo in JPEG format of 1200 X 900 pixels and less than 500 kb size.

Family Name

Middle Name

First Name

Date of Birth

Nationality

Gender

Country

Birth Address

Mobile Number

Email If you do not have email we recommend you to create a new gmail to track your application online

Employment Status

II. Family Details

1. Father

Family Name

Middle Name

First Name

Nationality

Education Details

Occupation

Mobile Number

2. Mother

Family Name

Middle Name

First Name

Nationality

Education Details

Occupation

Mobile Number

Brothers

Sisters

3. Permanent Address (Parent or gaurdian)

Country

Address

4. Current Address

Country

Address

5. Emergency Contact

Mobile Number

III. Education Background

1. High School

Stream

Science Social Science

Khmer Grade

Maths Grade

History Grade

Foreign language

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Biology Grade

Chemistry Grade

Physics Grade

Earth Science Grade

Geography Grade

Morals & Ethics Grade

Total Grade

Total Mark

School Name

Country

Address

2. Secondary School

School Name

Country

Address

3. Attachments

High School Certificate*

Birth Certificate*

Driving License #

National ID #

Passport #

4. RUA Faculty Preference

Faculty

I will bring two color photos passport size (4 x 6 cm), Original high school certificates at time of admission for verification and submission. I kindly request to consider my application for Faculty of I applied for {{formData.faculty1}}. I also request for ID at the academic year start and foundation year certificate, once year 1 completed. I acknowledge that all information provided are true to my knowledge.

Applied on