APPLICATION FOR REGISTERED GRADUATE TECHNICIAN CERTIFICATE (R.G.T.C.)

Register No. *

Name (English) *

Name (မြန်မာ) *

Father's Name (English)

Father's Name (မြန်မာ)

Date of Birth*

Gender

Male

Female

NRC Card No.(English) *

NRC Card No.(မြန်မာ) *

NRC Card Photo (Front) *

NRC Card Photo (Back) *

Technological University*

Email*

Tel No.(English)*

Tel No.(မြန်မာ)*

Academic Discipline *

Engineering Discipline *

State

Township

Address(English) *

Address(မြန်မာ) *

Year of practical experience*

Graduation Date*

Academic Qualification*

Academic Qualification Attachment *

Other Documents

Other Document Attachments

Other Documents

Other Document Attachments

Other Documents

Other Document Attachments

Other Documents

Other Document Attachments

* Please aﬃx recent photo (Passport size)