1. No category

แบบ ตรี 6.1 (B 6.1)
Application Number
1 inch
Photograph
Bachelor of Art (B.A.) in Sustainable Tourism Management
International College for Sustainable Studies
SRINAKHARINWIROT UNIVERSITY
APPLICATION FORM
PLEASE USE BLACK BALLPOINT OR BLACK TYPE AND BLOCK CAPITALS
1. PERSONAL INFORMATION
Title:
……………………
Identification
Number/Passport
Gender:
Male
Female
First name:
……………………………….
Family name:
……………………………….
Date of Birth: (day/month/year)
………../……………..../…………
Nationality ……………………………
Age (until 3 March 2015)
Religion ……………………………
…………Years………….Months………..Days
Permanent address
Correspondence address (If different from above)
Contact numbers
Home Phone :
Email:
Mobile :
2
2. ACADEMIC BACKGROUND
Academic institutions attended since age of 16 and qualifications obtained or entered for
Institution (School/College/
Dates of attendance
Qualifications awarded and
Other Higher Education)
(Month/Year)
grades/class of Honours
Qualifications expected
(given date)
3. ENGLISH LANGUAGE COMPETENCE
Please fill in the information of English Language Competance you have already obtained.
TOEFL : …………………… /IELTS : ………………….… /CU-TEP : …………………. / Other : ……………………..
Date of Examination:
Day..……..Month………………….Year……………
Date of Test Report:
Day…..…..Month………………….Year……………
4. GUARDIAN INFORMATION  FATHER
Title:
……………………
Age:
………………………….
Permanent address
 MOTHER
First name:
Family name:
……………………………….
……………………………….
Nationality:
Occupation:
Monthly income:
…………………………..
…………………………… …………………….
Correspondence address (If different from above)
Contact numbers
 OTHER
Home Phone :
Email :
Mobile :
3
5. CHECKLIST
Please check you have enclosed the following documents with your application. All copied documents must be
signed and verified by the applicant.
For Thai Applicants:
 1. A certified true copy of academic record
 2. Statement of Purpose
 3. A certified true copy of application fee receipt
 4. A certified true copy of ID card
 5.A certified true copy of resident registration
 6. One 1-inch recent photographs
 7. Certified true copies of English Language Competence (optional)
 8. Certified true copies of SAT (optional)
 9. Financial statement issued by bank or financial institutes
 10. A certified true copy of change of names/Last names (if any)
 11. Others…………………………………………………………………………..........
For Non-Thai Applicants:
 1. A certified true copy of academic record
 2. Statement of Purpose
 3. A certified true copy of application fee receipt
 4. A certified true copy of ID card
 5.A certified true copy of resident registration
 6. One 1-inch recent photographs
 7. Certified true copies of English Language Competence (optional)
 8. Certified true copies of SAT (optional)
 9. Financial statement issued by bank or financial institutes
 10. A certified true copy of change of names/Last names (if any)
 11. Others…………………………………………………………………………..........
Note: 1) Applicants not supplying an English Language Competence will be required to take English Entrance Examination.
2) Applicants not supplying SAT will be required to take SWUSAT.
DECLARATION: I confirm that the information given on this form is true, complete and accurate and no information
requested or other material information has been omitted. I have read the guide for application. I undertake to be bound by the
terms set out in it and I give my consent to the processing of my data by SrinakharinwirotUniversity. I accept that, if I do not
fully comply with these requirements, the university shall have the right to cancel my application and I shall have no claim
against the university.
Applicant’s Signature……………………………………..……..Date…...…………………