Nakhon Pathom Rajabhat University Sandwich Program of Master of Engineering in Water Resources Engineering (International Program) A.

Program Option Application for: O Thesis option O Non-Thesis option B. Applicants Information Title O Mr. O Miss O Mrs. O Other( Please specify) ________ Name:______________________________________________________________
First name Last name

Thai National ID Card Number:____________________ Date of Birth:___/___/___ Age:_____ years Place of Birth:_________ Nationality:________ Religion: _________ Gender: O Male O Female Marital Status : O Single O Married O Divorced O Separate Permanent Address: ___________________________________________________________________ ___________________________________________________________________ Current Address(Contact Address): ___________________________________________________________________ ___________________________________________________________________ Telephone:_____________________________ Fax:_____________________________ Mobile:_______________ E-Mail Address:_____________

C. Educational Background O Graduated O Bachelors degree candidate

University/Institute

Degree

Major

Graduation Date

GPA

If you attended or are currently enrolling in any program at Nakhon Pathom Rajabhat University, please enter your student ID number: ____________

D. Employer ________________________________________________________________________
Company name Company name Company name Location Location Location Position/Title Position/Title Position/Title To/Form To/Form To/Form

________________________________________________________________________ ________________________________________________________________________

E. English Language Proficiency O CU-TEP Having English Test Score:_______________ Waiting for a test result: Date taken____________ O TOEFL: Date taken ____________ Total score ____________ O IELTS: Date taken ____________ Total score _____________ O Others: _________Date taken ____________ Total score _____________

F. Financial Information Who will be paying for your tuition fees? O Self-supported O Fellowship: Name of the fellowship______________________ O Apply for NPRU Full scholarship______________________

G. References Please enter the name, occupation and contact address of each of your two references.
st nd

_______________________________ _______________________________ _______________________________ _______________________________

_______________________________ _______________________________ _______________________________ _______________________________

H. Certification and Signature I agree that the University may alter part(s) of a program without notice. I agree that the University may suspend any program or my place on that program. I agree that the University may vary or cancel any decision it makes. I agree that if the information given on this form is later found to be false, the University may withdraw my offer or subsequent place on the program of study. I understand that the University will use this information for purposes of admissions and to form part of a subsequent student record if I am accepted. I give my consent to the processing of my data and to use it for statistical information and reporting that will not identify me. I confirm that the information given on this form is true, complete and accurate.

Applicants signature: ____________________ Date: ____________________

I. Statement of purpose Please state your reasons for pursuing graduate study in M.Eng in Water Resources Engineering, your academic and professional interest and goals, and any additional information that may assist the selection committee in evaluating your preparation and aptitude for graduate study at Program of Civil and Environmental Engineering, Nakhon Pathom Rajabhat. Attach an additional page if necessary.

J. Required Documents Please check the boxes below in accordance with your submitted documents. 1. A completed application form with a 1-inch photo attached 2. A photocopy of your Thai Nation ID card or a copy of your passport 3. An official copy of your academic transcript in a sealed envelope issued by the university or a copy of your academic transcript until latest semester (for final-year undergraduate students) and your copy of graduate certificate 4. Two recommendation letters with two copies of ID card or passport of two referees 5. An official copy your English test score (CU-TEP or TOEFL or IELTS or others) 6. Two 1-inch photos (taken within six months) 7. An official letter of employment issued by your employers showing 8. A minimum of 1-year work experience (for Non-Thesis option) 9. Money order of 650 Baht or 20 USD for an application form and applying fee 10.Other documents (Please specify) :___________________________

Total_________ items

Applicants signature:_____________________ Date:_____________________