Page 11 - WorkManual-Admissions
P. 11

Graduate Program Application Form                                                                                                          Photo
                               Suranaree University of Technology

                         To begin studies on trimester                                                                                     / year

Application for School of

Degree sought * (Please consult the information on the back for details)

                 Ph.D.          Type 1                                                                                                    Type 2

                 Master’s   Plan A Type A(1)                                                                                              Plan A Type A(2)             Plan B

1. Title          Mr.          Ms.                                                                                             Mrs.    Other

2. Full Name

3. Date of Birth Day                    Month                                                                                                                    Year
4. Place of Birth City
                                                                                                                                           Country

5. Citizenship

6. Passport Number                                                                                                               Date of Expiry

7. Contact Information

Mailing address (Number & Street)                                                                                                                            City
                                                                                                                                                             Postal Code
Province/State                                                                                                                   Country            E-mail

Telephone                               Fax

Mailing address valid until

8. Permanent Contact Information

Mailing Address (Number & Street)                                                                                                                            City
                                                                                                                                                             Postal Code
Province/State                                                                                                                   Country            E-mail

Telephone                               Fax

Educational Background (Leave blank if not applicable)
1. Currently studying in Bachelor/Master’s program in School/Department

University                                                                                                                       GPA of Major
GPA

Expected date of completion                                                                                                                            Abbreviated
Full name of degree to be obtained                                                                                                                     Abbreviated
                                                                                                                                                       Abbreviated
    Name of advisor/thesis advisor
2. Bachelor’s Degree obtained in year

School/Department                                                                                                                University

Full name of degree obtained                                                                                                     GPA of Major
GPA

    Name of advisor
3. Master’s Degree obtained in year

School/Department                                                                                                                University

Full name of degree obtained

GPA                                                                                                                              GPA of Major

Name of thesis advisor

Employment Details
           Never have been employed
           Previously employed: Name and address of former employer

  Currently employed: Post/Rank held at present
      Name and address of employer

          Telephone                                                                                                                        Fax

As currently employed, the employer has approved leave for study

                  Full time                                                                                                      Part time

E:\งาน\เวบ็ ไซตศ์ ูนย\์ ขอ้ มูล Admission\SUT Graduate Application Form.docx พมิ พค์ ร้ังล่าสุดเม่ือ 15/09/58 ๑๕/๐๙/๕๘ ๑๖:๕๐ น.
   6   7   8   9   10   11   12   13   14   15   16