Cambodian AIT Student Association

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CASA Member Registration

Registration Code	:	* (Request the code)

First Name	:	*
Last Name	:	*
Sex	:
AIT ID	:
Type	:
Degree Program	:
Field of Study	:
School	:
Admitted Date	:	*
Expected Completion Date/Completed Date	:	*
Research/Thesis	:

Mobile Number	:	*
Email	:	*
Website/URL	:
Address/Workplace/ AIT Address (Dorm# & Ext. #)	:

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