MFU Application for Admission V2

MAE FAH LUANG UNIVERSITY

Application Form
Select Degree: *
1. APPLICATION INFORMATION
Full Name: *

First Name Last Name
Place of Issue: *
Date of Issue: *

Day Month Year
Expiration Date: *

Day Month Year
2. PERSONAL DETAILS
Gender:
Nationality *
Religion
Place of Birth
Blood Group
Date of Birth

Month Day Year
(a) Address
Address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Telephone (Home):
Telephone (Mobile):
E-mail: *
(b) Current address used for postage (if different from permanent address)
Address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Telephone (Home):
Telephone (Mobile):
E-mail:
(c) Contact person (in case of emergency)
Name: *
Telephone: *
3. EDUCATIONAL BACKGROUND
3.1 List all schools or colleges you are currently attending or have previously attended beginning with the most recent.
Name of School, College, University: *
City / Country: *
Start Date: *

Month Day Year
Finish Date: *

Month Day Year
G.P.A.:
Award Granted:
Name of School, College, University:
City / Country:
Start Date:

Month Day Year
Finish Date:

Month Day Year
G.P.A.:
Award Granted:
***Please Note: If you are applying as a transfer student, please add all descriptions of the courses you would like to be transferred as an attachment to the application, so they may be reviewed by the appropriate departments.
Name and Description of Previous Awards or Scholarships:
Date Received:

Month Day Year
Name and Description of Previous Extra-Curricular Activities:
Date Attended:

Month Day Year
***Please add additional sheets of paper as an attachment to the application if space is insufficient.
3.2 English Language Proficiency Test (For Non-Native English Speakers)
TOEFL
Best Scores:
Date Taken

Month Day Year
IELTS
Best Scores:
Date Taken

Month Day Year
OTHER
Best Scores:
Date Taken

Month Day Year
***If you do not have English Proficiency Test results, an Intensive English Course at Mae Fah Luang University is required
3.3 Details of Language Abilities
Native English Speaker Native Chinese Speaker
Language 1:
Listening:
Speaking:
Reading:
Writing:
Language 2:
Listening:
Speaking:
Reading:
Writing:
4. PROPOSED PROGRAMME OF STUDY
School of: *
Bachelor of:
In:
Master of:
In:
Doctor of:
In:
Proposed starting date of study:

Month Day Year
5. PARENT OR GUARDIAN INFORMATION
(a) Primary Guardian
Full Name: *

First Name Last Name
Current occupation:
Title: *
Employer / Company:
Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Telephone:
E-mail:
(b) Secondary Guardian
Full Name:

First Name Last Name
Current occupation:
Title:
Employer / Company:
Address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Telephone:
E-mail:
Source of financial support during your period of stydy:
Parent / Guardian:
Scholarship / Grant (name):
Other:
6. SUPPORTING DOCUMENTS (In English)

All document should be in English or have a certified translation.
Enclosed
A single 1-inch photograph
Academic Transcripts from high school level and above *
Graduation Certificates from high school level and above *
English proficiency score report (TOEFL, IELTS) *
Doctor's Medical Report (certification) (if any)
Recommendation Letter (For Master's/Doctoral Degree)
Working Experience Letter (For Master's / Doctoral Degree)
Publications (if any) (For Master's / Doctoral Degree)
Statement of purpose (Should be written in hand writing as least 250 - 400 words) *
Other

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I certify all of the above information and statements to be true and correct.
How did you hear about Mae Fah Luang University?

Online Embassy University Education Exhibition MFU Newsletter From a Friend
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Adress:
MAE FAH LUANG UNIVERSITY
Global Relations Division
Chiang Rai 57100 Thailand

Contact:
Tel: +66(0) 5391 6024
Fax: +66(0) 5391 6023
Email: global@mfu.ac.th
Web: www.mfu.ac.th
Facebook: facebook.com/global.mfu
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MAE FAH LUANG UNIVERSITY

1. APPLICATION INFORMATION

2. PERSONAL DETAILS

3. EDUCATIONAL BACKGROUND

4. PROPOSED PROGRAMME OF STUDY

5. PARENT OR GUARDIAN INFORMATION

6. SUPPORTING DOCUMENTS (In English)