SIRINDHORN INTERNATIONAL INSTITUTE OF TECHNOLOGY

THAMMASAT UNIVERSITY

Application Number

2x3 cm.

APPLICATION FOR GRADUATE SCHOLARSHIP

PROGRAM FOR EXCELLENT FOREIGN STUDENTS (EFS)

Photograph
taken within
6 months

Note to Applicant: Please type or write clearly in English block letters.

1. PERSONAL INFORMATION:
Name of Applicant: Mr./Ms./Mrs. ---------------------------------------------------------------------------------------------------------------First

Middle

Last

---------------------------------------------------------------------------------------------------------------------------In Thai

Citizen ID. / Passport No. -----------------------------------------------------------------------------------------------------------------------------

Date of Birth : -----------/----------/----------Date

month

Age : --------------- years

Country of Birth : -----------------------------------------

year

Country of Citizenship : ----------------------------- Mailing Address : --------------------------------------------------------------------------------------------------------------- City: ---------------------------------------------- Country: -------------------------------------------Postal Code: ------------------------ Telephone: -------------------------------- e-mail: ------------------------------------------------------2. PROGRAM:
[

] Master of Science (Engineering and Technology)

] Master of Engineering in Engineering Technology

] Master of Engineering in Logistics and Supply Chain Systems Engineering

] Master of Engineering in Information and Communication Technology for Embedded Systems

] Doctor of Philosophy (Engineering and Technology)

Field of Interest: ----------------------------------------------------------------------------------------------------------------------------Potential SIIT Advisor:

(in order of priority)

1. ------------------------------------------------------------------- already contacted

2. -------------------------------------------------------------------(Optional)
3. -------------------------------------------------------------------(Optional)

not yet contacted

3. EDUCATIONAL BACKGROUND:
3.1 Undergraduate (Bachelor) Qualification:
------------------------------------------------------------------------------------------Name of Institution
------------------------------------------------------Period of Study (mo./yr. - mo./yr.)

--------------------------------------------------------Location (Country)

---------------------------------------------------------Degree

------------------------------------------------------------Scholastic Honors, Prizes or Honors Class

-----------------------------------------------Grade Point Average

------------------------------Major Subject

----------------------------------Class rank/No. in Class

3.2 Graduate (Master) Qualification (if available):

------------------------------------------------------------------------------------------Name of Institution
------------------------------------------------------Period of Study (mo./yr. - mo./yr.)

--------------------------------------------------------Location (Country)

---------------------------------------------------------Degree

----------------------------------------------------------Scholastic Honors, Prizes or Honors Class

-----------------------------------------------Grade Point Average

------------------------------Major Subject

----------------------------------Class rank/No. in Class

For Staff only

School [ ] BCET [ ] CET[ ] ICT

] MT

] MSME [

] COMMON

4. EMPLOYMENT HISTORY:
Please list your work experience starting with most recent employment.
a) -------------------------------------------------------- ------------------------------------------------- -------------------------------------------Employer
Location
Date(mo./yr. - mo./yr.)
--------------------------------------------------------------------------------------Nature of Employers Activities

-------------------------------------------------------------Your Job Title

b) -------------------------------------------------------- ------------------------------------------------- -------------------------------------------Employer

Location
Date(mo./yr. - mo./yr.)
-------------------------------------------------------------------------------------Nature of Employers Activities

5. ENGLISH PROFICIENCY:
Written:
[
Spoken:
[
Result of English Proficiency test

] Excellent
] Excellent

--------------------------------------------------------------Your Job Title

[ ] Good
[ ] Good

[
[

] Fair
] Fair

[
[

] Poor
] Poor

TOEFL ------------ TU GET ------------ IELTS ------------

6. MEDICAL STATUS:
Please summarize your health and medical history. List any physical handicaps, recent treatment by a physician or
psychiatrist, mental health indicators or other relevant information.
* An official medical certificate is required for successful candidates.
------------------------------------------------------------------------------------------------------------------------------------------------------------

7.

-----------------------------------------------------------------------------------------------------------------------------------------------------------FINANCIAL SUPPORT:

If not granted a scholarship, do you have financial support for your study at SIIT?
[ ] Yes
[ ] No
If yes, it is from:
[ ] External Sponsor [ ] Self or Family [ ] Other: -----------------------------------------------------------Name of Sponsor: ------------------------------------------------------------------------------------------------------------------8.

STATEMENT OF PURPOSE: Please submit 1 page of the Statement of Purpose as guideline below.

Your general information.

Your purpose in graduate study.
The area of study in which you wish to specialize.
Your future use of your graduate study, your career goals.
Your special preparation and fitness for study in the field. Your academic background, extracurricular
experiences/achievements, and awards.
Any problems or inconsistencies in your academic records. Indicate the areas that are your weak ponits or those
needed improvement.
The reasons you wish to attend SIIT.

I certify that all the statements given above are absolutely true.
Applicant's Signature : ---------------------------------------------------------------Mailing Address:
Admissions and Public Relations Division
Sirindhorn International Institute of Technology
Thammasat University, Rangsit Campus
P.O. Box 22, Thammasat Rangsit Post Office
Pathumthani 12121, Thailand
Email:
admissions@siit.tu.ac.th
Website:
www.siit.tu.ac.th

Date ------------/-------------/------------

Required Application Documents

[
[
[
[

]
]
]
]

[ ]
[ ]
[ ]
[ ]

A statement of purpose and CV

1 copy of official transcript Bachelor Degree
1 copy of official transcript - Master Degree (if available)
1 copy of official certificate of English proficiency :
TOEFL, IELTS, or TU GET (If any but recommended)
2 letters of recommendation (from advisor of Bachelor and/or
Masters Programs)
Recent Photograph (1 copy of 1x1 size)
1 copy of citizen ID card/passport
Others ----------------------------------------------------------------

Officers Signature -------------------------------------------------------------Date:---------------------------------------------------

SIRINDHORN INTERNATIONAL INSTITUTE OF TECHNOLOGY

THAMMASAT UNIVERSITY

LETTER OF RECOMMENDATION
Please mail directly to:

Admission and Public Relations Division

Sirindhorn International Institute of Technology, Thammasat University,
P.O. Box 22, Thammasat Rangsit Post Office, Pathumthani 12121, Thailand.

(Applicant complete top section)

Applicants Name: Mr./Ms. ___________________________________________________________________________________
First

Last

Address: ___________________________________________________________________________________________________
Application for: ___________________ __________________ ______________________________________________________
Month

Year

Proposed Major

Applicants Signature ______________________________________________________ Date ____________________________

To the Respondent: Please discuss the candidates intellectual ability and research potential. Also, comment on character,
personality, and ability in reading,writing, and speaking English. It would be extremely helpful too if you could check, the
comparative assessment, boxes below.

Please feel free to continue on the other side of this sheet as necessary
_____________________________________________________________________________________________________________

Estimated rank of applicant in the department

out of

students.

How would you compare the applicant to his/her peer group in the following areas?
Truly
Exceptional

Outstanding

Above
Average

Average

Below
Average

No
Information

Intellectual Ability
Writing Ability
Speaking Ability
Academic Preparation
Motivation
Maturity
I have known the applicant for approximately _________________________________(years and months)
During this time the applicant was an: Undergraduate student ______________ Advisee of mine _____________
Other (please specify) _________________________________________________________
In summary, I would give the applicant a: [ ] Very Strong [ ] Strong [ ] Average [ ] Below Average recommendation.
Respondents name ______________________________Title _________________________ Last Degree_____________________
Affiliation ___________________________________________________________________________________________________
Phone _____________________________________ Fax ________________________________e-mail________________________
Do you know any person at SIIT ? _____________________ Name ___________________________________________________
Signature _________________________________________________________ Date_______________________________________