EXCHANGE STUDENT APPLICATION FORM
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1 Faculty of Political Science THAMMASAT UNIVERSITY Please enclose 4 x 1.5-inch photos EXCHANGE STUDENT APPLICATION FORM Application deadlines: 1st Semester > the end of May 2nd Semester > the end of November This application form is to be typed in or written in BLOCK LETTERS. Personal information First name: Last name: Gender: Male Female Date of birth (dd/mm/yyyy): Marital status: Single Married Divorced Separated Other Nationality: Address for correspondence: Native language: Valid until (dd/mm/yyyy): City: Postcode: Country: Tel.: Passport number: Country of Passport Issued: Expiry date: Home institution Name of institution: Address: Name: Exchange coordinator Tel.: Fax.:
2 Academic information Faculty of Political Science 2 Prachan Road, Pranakorn, Bangkok Degree/diploma of your current study : Bachelor Master Doctorate Other > Major/field of study/subject : Current year of your study : 1st year 2nd year 3rd year 4th year Other > Cumulative GPA: Awards: Expected date of graduation: Language proficiency Language of instruction at home Institution: Is English your first language? : Yes No (if no, please give details of your English standard test) English proficiency assessment standard : TOEFL ( IBT, CBT, PBT ) IELTS TOEIC English Others (please specify..) Score Listening : Speaking : Reading : Writing : If you apply for the program conducted in Thai, please provide some information about your Thai proficiency below. Name of assessment institution : Thai Excellent Good Fair Underperformed Listening Speaking Reading Writing
3 Exchange Study Information Duration of your exchange Academic year Semester 1 : August December Semester 2 : January - May Duration of exchange One semester Two semesters Anticipated date of arrival in Thailand (dd/mm/yyyy) Student Health Insurance Do you have International full health insurance? Yes No (if yes, please specify details.) Are you certain that your insurance covers all accidents, injuries, medical costs while studying at Thammasat University as an international student? Yes No If yes, please submit a proof of your medical insurance as a part of processing your student application. Your medical insurance can be either from international or local source and is able to cover your studies at Thammasat University. If no, please provide what are your plan and financial plan when you need medical attention, or when you are injured or hospitalized. Emergency Contact Information Name:..... Address:..... Tel.: Relationship to you:...
4 Statement of purpose Please provide brief personal information about yourself and describe reasons why you are interested in studying at Faculty of Political Science. If possible, please also describe what you expect to obtain through your study at Thammasat University, and after you return to you home country. This section can be submitted on a separate paper.
5 Study plan Exchange students may enroll courses across various disciplines. Students will be granted entry to the courses of their choice in condition as follow: A Student must meet eligible criteria determine by the host Faculties Not all listed courses are offered every semester or year. Check listing of tentative courses per semester on the faculty/program websites. You may choose other courses that you are interested in from the complete list. If you are interested in credit transfer, you need to consult with your academic advisor at your home university. Course submission for credit transfer approval should be completed prior to your departure. You are required to enroll at least 3 credits per semester. However, it is normal that the international students are enrolling between 3 15 credits per semester. Applicants have the necessary pre-requisite background, if required by the host Faculty. Approval to enroll in courses is given by the relevant Faculty office. Course name Code First semester Alternative courses Second semester Alternative courses
6 Agreement As a student of Thammasat University I agree: To comply with the rules and regulations of the University and the Faculty of Political Science. To provide passport and visa details before or upon arrival at the University. To acknowledge that all statements in this application are true. I completed this application to the best of my ability. I am aware that it is my responsibility to obtain all visas and to arrange my air travel. That the Faculty of Political Science may change any decision if the information given is incorrect or incomplete. That I realize that Thammasat University and the Faculty of Political Science Program cannot guarantee registration in some restricted courses. Thammasat University and the Faculty of Political Science are unable to provide Exchange Students with financial support. That all information given in this true and correct. Required accompanying documents Documents of English/Thai competency Academic Transcripts (must be in English, or with accompanying translation) 2 Letters of Recommendation from academic institution Forms signed and dated 5 of 1.5 photos A copy of your passport Research proposal (PhD student only) Signature (sign on the printout) Student Signature Date Coordinator Signature Date
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