Please fill out the information correctly and completely. (* Required) Personal Information Name (Thai) * Surname (Thai) * Name (English) * Surname (English) * Nickname * Nationality * Select Nationality ไทยAfghanistaAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguilaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijaBahamas, TheBahraiBangladeshBarbadosBelarusBelgiumBelgium-LuxembourgBelizeBeniBermudaBhutaBoliviaBosnia and HerzegovinaBotswanaBr. Antr. TerrBrazilBritish Indian Ocean Ter.British Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCamerooCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo, Dem. Rep.Congo, Rep.Cook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicCzechoslovakiaDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgypt, Arab Rep.El SalvadorEquatorial GuineaEritreaEstoniaEthiopia (excludes Eritrea)Ethiopia (includes Eritrea)European UnioFaeroe IslandsFalkland IslandFijiFinlandFm Panama CzFm Rhod NyasFm TanganyikFm Vietnam DrFm Vietnam RpFm Zanz-PembFr. So. Ant. TrFranceFree ZonesFrench GuianaFrench PolynesiaGaboGambia, TheGaza StripGeorgiaGerman Democratic RepublicGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHoly SeeHondurasHong Kong, ChinaHungaryIcelandIndiaIndonesiaIran, Islamic Rep.IraqIrelandIsraelItalyJamaicaJapanJhonston IslandJordaKazakhstaKenyaKiribatiKorea, Dem. Rep.Korea, Rep.KuwaitKyrgyz RepublicLao PDRLatviaLebanoLesothoLiberiaLibyaLiechtensteiLithuaniaLuxembourgMacaoMacedonia, FYRMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMexicoMicronesia, Fed. Sts.Midway IslandsMoldovaMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNeutral ZoneNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmaPacific IslandsPakistaPalauPanamaPapua New GuineaParaguayPen MalaysiaPeruPhilippinesPitcairPolandPortugalPuerto RicoQatarReunioRomaniaRussian FederatioRwandaRyukyu IsSabahSaint HelenaSaint Kitts-Nevis-Anguilla-AruSaint Pierre and MiqueloSamoaSan MarinoSao Tome and PrincipeSarawakSaudi ArabiaSenegalSeychellesSierra LeoneSIKKIMSingaporeSlovak RepublicSloveniaSolomon IslandsSomaliaSouth AfricaSoviet UnioSpainSpecial CategoriesSri LankaSt. Kitts and NevisSt. LuciaSt. Vincent and the GrenadinesSudaSurinameSvalbard and Jan Mayen IsSwazilandSwedeSwitzerlandSyrian Arab RepublicTaiwaTajikistaTanzaniaTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistaTurks and Caicos Isl.TuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnspecifiedUruguayUs Msc.Pac.IUzbekistaVanuatuVenezuelaVietnamVirgin Islands (U.S.)Wake IslandWallis and Futura Isl.Western SaharaYemen DemocraticYemen, Rep.YugoslaviaYugoslavia, FR (Serbia/MonteneZambiaZimbabwe ID Card * Sex * Male Female Date of Birth * Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month January February March April May June July August September October November December Year 20022003200420052006200720082009201020112012201320142015201620172018201920202021 Phone * Email * Place of education * High school graduation year (A.D.) * Shirt size * Select Size 8 10 S M L XL XXL 3XL Shirt size table / inch SIZE 8 10 S M L XL XXL 3XL Male 40" 42" 44" 46" 48" 50" Female 32" 34" 36" 38" 40" 42" Kids 30" 32" Address House number * Road Village City * State Country Postcode * Parent information Father's name * Surname * Phone * Email * ID Line Occupation Mother's name * Surname * Phone * Email * ID Line Occupation Pro Trainer Name of trainer Institution Photo Attach photos of golfers * Annual membership fee 2,500 Baht KASIKORNBANK Public Company Limited (KBANK), Fashion Island Branch Account Number : 056-8-08937-5 Account Name : Golf Impact Center Co., Ltd. For wire transfer: Swift: KASITHBK Address: KASIKORNBANK Public Company Limited (KBANK) 1 Soi Kasikornthai Ratburana Rd, Bangkok 10140 Tel: 0-2222-0000 Request tax invoice Company Name * Tax ID * Address * Attach proof of payment *