Placement Test Form

Branch*

Name in Khmer

Name in Latin*

Name in Chinese

Gender*

Nationality

Date of Birth*

Phone*

Place of Birth*

Current Address*

Occupation*

Email

Facebook*

Mother Name

Mother Occupation

Father Name

Father Occupation

Guardian Name*

Guardian Phone*

How do you know CAM-ASEAN?*

Friend

Media

Walk in

Other

Study Shift*

Morning

Afternoon

Evening

Weekend

Education*

Grade

Last Level

Name of School

Program*

Term

Course

Remark

Image

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