RSU International Programs Beta v 2.4 | Page 57

INTERNATIONAL STUDENTS APPLICATION FOR ADMISSION 1 - inch Photo Please type or print all information in BLOCK letters FIRST NAME MIDDLE NAME DATE OF BIRTH (DD/MM/YYYY) NATIONALITY SEX STATUS Male Female LAST NAME PLACE OF BIRTH (Province/Country) ID NUMBER (Thai only) Single Married Others, please specify PLACE OF ISSUE (Country) PASSPORT NUMBER EXPIRATION DATE (DD/MM/YYYY) ISSUE DATE (DD/MM/YYYY) EMAIL ADDRESS TELEPHONE NUMBER PERMANENT HOME ADDRESS CURRENT MAILING ADDRESS EMERGENCY CONTACT PERSON (First Name-Last Name) RELATIONSHIP WITH THE APPLICANT ADDRESS OF EMERGENCY CONTACT PERSON ARE YOU A FORMER RSU STUDENT? Yes APPLYING FOR EMAIL ADDRESS TERM/YEAR LAST ATTENDED (RSU) TELEPHONE NUMBER NAME OF PROGRAM LAST ATTENDED (RSU) No NAME OF PROGRAM Bachelor’s Degree FACULTY Master’s Degree SEMESTER THAT YOU ARE APPLYING FOR 1st Semester 2nd Semester EDUCATIONAL BACKGROUND Education Level STUDENT STATUS Summer First Year Student Transferee Others, please specify (Concerns only your studies at the secondary school, university or professional level) Name of Institution Program/Major Subject Degree/Certificate Years Attended GPA I hereby certify that I have provided accurate information on this application and submitted genuine supporting documents. I understand that any misrepresentations or omi ??[???X??[?^H\X?][?X^H?\?Y?H[?X[?YZ\??[??[??[][???YZ\??[???]?]?[???HH???[K??UH  ?SK?VVVJB??P?B??????P?PST?H?B?????? x?'H?^?B???\?[????[Y[????\???\X?][??YB???Q?UT?B???[???\??X??[????X?\????\]\???X?\????X?Z\?[X?\????\?Y\???\X?][?\??Y??YZ\??[???X?\???