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Interviewee Info Form - Indonesia - 2016
Interviewee Info Form - Indonesia - 2016
_______________________
Gender
Male
Female
Nationality
Currently
Study Status
Student
Diploma currently pursuing
Bachelor
Master
Doctor
University: _________________________________________________
Department: ________________________________________________
Non-Student
Highest diploma obtained
Bachelor
Master
Doctor
University: _________________________________________________
Department: ________________________________________________
English proficiency 1. Advanced Intermediate Beginner
2. English test name, score, date:
Contact info
Email address & phone no.:
Proposed program 1. Department/institute:
for study at NCU
2. Bachelor (Chinese ability required) Master Doctor
3. Fields/research topics:
Evaluation (GREY SECTION FOR NCU USE ONLY)
Decision
Issued early admissions already
Cant decide, but highly recommend to the pointed department/institute
Not recommend
English proficiency (scale 1-10) 1 2 3 4 5 6 7 8 9 10
Other comments: