The Petroleum and Petrochemical College Chulalongkorn University Application form for One Semester Exchange Program For Second Semester, Academic Year 2024
PERSONAL PROFILE (Information must be typed)
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Full Name
*
Mr.
Ms.
Mrs.
Prefix
First Name
Middle Name
Last Name
Sex
*
Male
Female
Date of Birth
*
-
Day
-
Month
Year
Date
Nationality
*
Passport Number
*
Current Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Telephone
E-mail
*
example@example.com
Proposed field of study or research at The Petroleum and Petrochemical College
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Academic exchange
Research Internship
Please choose
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Petroleum and Energy Technology Program
Petrochemical Technology Program
Polymer Science Program
Semester in which it will be attended
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First (August – November)
Second (January- April)
Academic Year
*
Proposed Grading System for credit transfer to home university
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Standard grading system with A, B, C, D and F
Grading with “S” for Satisfactory or “U” for Unsatisfactory (with examination)
Grading with “V” for Visitor or “W” for withdrawn (without examination)
Certificate for exchange or internship
EDUCATIONAL INFORMATION
Home University
*
Country
*
Current Status
*
Studying Undergraduate
Studying Graduate (Master/Ph.D.)
Year of study
Student ID
Configurable list
*
English Proficiency: (for non-native speaker) : Indicate your English proficiency
*
Excellent
Good
Fair
Poor
Reading
Writing
Speaking
Listening
Thai Proficiency : Indicate your Thai proficiency
*
Excellent
Good
Fair
Poor
Reading
Writing
Speaking
Listening
PPC’s Advisor
Scholarship / Research Funding
Applicants received scholarship/research funding supported by
Study or Research Plan: (Please use a separate sheet if necessary.)
PPC Program
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