Applicant of 2017 Admission

Transcription

1 Official Use Only Ref. No. Date Applicant of 2017 Admission Bachelor of Economics (English Program) Kasetsart University 50 Ngam Wong Wan Rd, Ladyao Chatuchak, Bangkok Thailand URL: Tel: ext.507, 515 Fax: Photo Please write in BLOCK CAPITALS. Title First name (Mr/Mrs/Miss etc.) Surname Previous Name (s), if changed.

2 Official Use Only Ref. No. Date Application Form For 2017 Admission Bachelor of Economics (English Program) Kasetsart University 50 Ngam Wong Wan Rd, Ladyao Chatuchak, Bangkok Thailand URL: Tel: ext.507, 515 Fax: Please write in BLOCK CAPITALS and complete all sections. SECTION 1 Personal Details Photo Title First name Date of Birth (Mr/Mrs/Miss etc.) Day Month Year Surname Previous Name (s), if changed Gender (please tick) National ID Number (Thai applicant only) Place of Issue Expiry Date M F Home Address Day Month Year Correspondence Address (if different) Postcode: Postcode: Telephone 1: Telephone 2: Mobile: Usual Country of Residence: Nationality: Ethnicity: Religion (if applicable): Emergency Contact First name: Relationship (e.g. parent): Surname: Telephone:

3 SECTION 2 Academic Background Details Educational Qualifications to Date (most recent first) Please enclose copies of all qualifications with this application. Name of Institution Start Dates Finish Degree obtained Field e.g. Math - sciences Language of instruction Result (grades or bands) Date of Completion English Language Proficiency Please Tick one and only one Score/Band Test Date TOEFL (Paper-based Test).. TOEFL (Computer-based Test).. TOEFL (Internet-based Test).. IELTS (Academic Test)..... SAT I (Verbal or Critical Reading).. CU-TEP..... TU-GET..... GAT (Part 2).. KU-EPT..

4 Mathematical Proficiency Please Tick one and only one Score/Band Test Date SAT I (Mathematics).. PAT 1 (Mathematics).. BEcon Mathematics and Statistics Exam. PASS SECTION 3 Parents Background Father s Information Mother s Information Name: Mr. Name: Ms. Living Deceased Living Deceased Age: Age: Religion: Religion: Occupation: Occupation: Position: Position: Employer: Employer: Home Address: Home Address: Telephone : Telephone : Mobile : Mobile : Highest education degree: Highest education degree: Primary Education Diploma Primary Education Diploma High school Education Bachelor High school Education Bachelor Secondary Education Master Secondary Education Master Certificate Ph.D. Certificate Ph.D. Other.. Other.. Number of children in the family (including yourself). And you are the. (e.g. first child of the family) At present you are living: with parents with father only with mother only with guardian at a dormitory Other..

5 For Non-Thai Applicants ONLY: Passport No.: Country of Birth: Your immigration history (yes/no) if yes, please provide details below, you must answer each of the following questions even if the answer is No or None : Have you ever been rejected/ refused or overstayed a Thailand visa or withdrawn by a Thai institution? If yes, please provide the dates and reasons here: Do you have a current Thailand visa? If yes, please provide us with your visa category, expiry date and the name and address of your current sponsor: Have you ever studied in Thailand previously? If yes, please provide details of the visa categories, the levels of programmes studied and the total length of study periods in Thailand: Declaration: I agree that if the information given on this form is later found to be false, Department of Economics may withdraw any offer or subsequent place on the program of study. I understand that this information will be used for the purposes of admissions and will form part of a subsequent student record if I am accepted. I give my consent to the processing of my data and to use it for statistical reporting that will not identify me. I confirm that the information given on this form is true, complete and accurate. Signature CHECK LIST Check and tick if you have submitted all necessary documents: An official transcript from all previous institutions including grade scale A photocopy of your Household Registration (For Thai applicant) Date of Completion Day Month Year A photocopy of the National Identification card (For Thai applicant) or Passport (For Foreigner applicant) 2 photos one-inch, in colour Identical, taken within the past 6 months, showing current appearance A photocopy of your English Proficiency Score Report A photocopy of your Mathematical Proficiency Score Report Application fees are 500 Baht