PARENTAL CONSENT
We: Mr. Chirasak Kijtham and Mrs. Morakot Kijtham
As: Parents
Authorize our daughter: Name: Chanyarucht Kijtham Date of Birth: May 13, 1999
To: apply the scholarship and if success, to study in Japan
From: April 2017 To: March 2024
Parent/Legal Guardian Signature:
____________________________ (Chirasak Kijtham) Date:____________
____________________________ (Morakot Kijtham) Date:____________
Address: 122/50 Chalermprakiat Rama 9 Rd Dokmai Pravet Bangkok 10250
Telephone: +66819196071, +66853551226, +66819098228