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24. Trần Khôi Nguyên. Form 1
24. Trần Khôi Nguyên. Form 1
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Please type or print clearly and answer all questions Fall Semester, Year: 2023
in English or Korean.
PERSONAL INFORMATION
Photo
1. Name : Mr. Ms.
(English) TRAN NGUYEN _ KHOI
Last(姓) First(名) Middle
(Your First Language) TRAN NGUYEN KHOI
Last(姓) First(名) Middle
2. Nationality : Vietnamese 3. Date of Birth : 07/07/2003 (mm/dd/yy)
4. Passport Number :
5. Place of Birth : Nam Dinh (city) (state) Vietnam (country)
6. Mailing Address : __17G Lane 17, Tran Tu Binh Street, Hai Ba Trung Ward, Phu Ly City, Ha Nam Province
Zip Code : 400000
7. Phone : (+84)911154772 8. Cellular Phone :
9. E-mail Address : trankhoinguyen717@gmail.com
10. Contact Number in Korea (if any)
11. Korean Proficiency Test Result (if any) : Level ( )
12. First Language : Vietnamese
13. Person to notify in case of emergency (GUARDIAN)
Relationship to Applicant (check one) : Father Mother Other
Full Name : NGUYEN THI THU HANG
Nationality : Vietnamese Date of Birth : 02/17/1976
Mailing Address : 17G Lane 17, Tran Tu Binh Street, Hai Ba Trung Ward, Phu Ly City, Ha Nam
Phone : (+84)982360276
EDUCATIONAL HISTORY
List all educational institutions or schools attended, beginning with the first year of primary school and ending with the last
year of education (including the school in which you are currently enrolled, if any). Print the name of each certificate,
diploma, or title earned in English. Do not abbreviate or use initials. Add additional pages if necessary.
Date of
Date of Attendance Degree Telephone
Name of Institution (MM-DD-YY) School Address & Country Received or
(from-to) Expected Fax
(MM-DD-YY)
TRAN QUOC TOAN From 09/05/2009 8 Lane 186, Nguyen Viet Xuan Street, 08/15/2014 (+84)3513885398
PRIMARY SCHOOL To 05/31/2014 Hai Ba Trung Ward, Phu Ly City, Ha
Nam Province
TRAN QUOC TOAN From 09/05/2014 Le Cong Thanh Street, Hai Ba Trung 08/15/2018 (+84)3513852201
SECONDARY Ward, Phu Ly City, Ha Nam Province
To 05/31/2018
SCHOOL
B PHU LY From 09/05/2018 Thanh Chau Ward, Phu Ly City, Ha 08/15/2021 (+84)2263841899
HIGH SCHOOL To 05/31/2021 Nam Province
NATIONAL From 10/25/2021 207 Giai Phong Street, Dong Tam 06/30/2023 (+84)2436280280
ECONIMICS To 05/31/2023 Ward, Hai Ba Trung District, Ha Noi
UNIVERSITY City
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This personal statement helps us become acquainted with you in ways different from course, grades, test scores, and other
objectives data. It will demonstrate your ability to organize thoughts and express yourself. We are looking for an essay that
will helps us know you better as a person and as a student. Please write an essay (250-500 words) on a topic of your choice.
You may attach your essay on separate.
All the answers I have given in this application are complete and accurate to the best of my knowledge.
I understand that any untrue or misleading information may result in my disqualification from further
consideration for admission. If admitted, I agree to observe all the rules and regulations of Dongseo University.
Please sign.