One Semester Exchange
One Semester Exchange
One Semester Exchange
Mr./Miss/Mrs./Other _______________________________________________________________________
First Name Middle Name Last Name
Semester in which you will enroll. The scholarships that we now offer are only for the semesters shown
below.
International System is used for all international Bachelor’s programs and some international graduate
programs.
Two-Semester System is used for all regular programs taught in Thai and for almost all international
graduate programs.
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EDUCATIONAL INFORMATION
Educational Background
Yes, score:_____________________ No
(b) Do you intend to sit for a TOEFL test or equivalent in the immediate future?
Yes No
Thai Proficiency:
(a) Indicate your Thai proficiency
Excellent Good Fair Poor
Reading
Writing
Speaking
Listening
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Study Plan: (Please use a separate sheet if necessary.)
Faculty: __________________________________________________
Major: ___________________________________________________
_________________________________________________________________________________________
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_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
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_________________________________________________________________________________________
_________________________________________________________________________________________
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I declare that the information given is true and correct to the best of my knowledge and that if
I have been awarded a scholarship, I agree to comply with the rules and regulations of Chulalongkorn
University.
Signature of Applicant
Date
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HOME UNIVERSITY APPROVAL : To be signed by Dean of Faculty/Head of Department/Director or
Registrar office
has been approved for participation in the scholarship program for one semester but not more than
4 months for the following periods:
Signed ________________________________________________
(_______________________________________________)
Title_____________________________________________
Date ____________________________________________
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Appendix
Conditions of Scholarships
1. The scholarship period cannot be extended.
2. The recipients are not permitted to accept any employment in Thailand during the term
of their scholarships.
3. The recipients are not permitted to postpone a period of the scholarship acceptance as
proposed by Chulalongkorn University.
4. The recipients must residence in Thailand during the scholarship period
In case of the scholarship recipient whishes to leave Thailand during the semester, he/she
has to inform the University of his/her departure through the Advisor where he/she is studying and
the advisor must give assurance that his/her absence will not interrupt his/her studies. Once the
request is approved by the University, the scholarship recipient will be able to depart. In this regard,
the University will not be responsible for the airfare. If his/her absence is more than 10 days,
he/she will not be entitled to the living allowance for the month (s) of his/her absence.
Term of Scholarships :
1 Semester (4 months)
Health insurance :
Chulalongkorn University has a health service center facility. However, foreign students must
have comprehensive health insurance policy to cover medical services in case of serious illness requiring
hospitalization. If not, all medical expenses incurred will be borne by recipients.
I accepted the information provided above is the best of my knowledge. If I have been
awarded a scholarship, I agree to comply with the rules and regulations of Chulalongkorn
University.
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A completed application form. [application form for One Semester Scholarship Program for
ASEAN and NON - ASEAN Countreis]
A nomination letter from home institution/university.
An official transcript of academic records (to be issued by the institute presently being attended)
An English proficiency score record (for non-native speaker of English)*
A copy of passport
A copy of student Card
Study plan/description of academic interests (on a separate sheet of A4-sized paper)
Two 1-inch-colored photos (with blue background) taken no more than six months in polite attire or
the uniform, signed on the reverse side, one of which should be attached to the application form
An appendix.
Send all application documents directly to the faculty/program of their choice. Please note that the
application date and selection schedule of the applicants has set by each of the faculty/program.
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