APPLICATION FORM FOR THE FIATA DIPLOMA

IN FREIGHT FORWARDING
Please complete this application form electronically or physically in capital letters

Personal information to be completed by the applicant

(strictly confidential)
Title Mr Ms

Last name NGUYEN

First name THI ANH TUYET

Date of birth Day 09 Month 09 Year 2002

Personal Contact Details

Street No.62/11/8B, Lam Van Ben Street, Tan Kieng Ward, Distric 7

City and postal code Ho Chi Minh City

Country Viet Nam

E-mail anhtuyetvn99@gmail.com

Business Contact Details

Company name

Street

City and postal code

Country

Phone

E-mail Website

Please indicate your name as it should appear on the diploma

NGUYEN THI ANH TUYET

I the undersigned, in the case of a FIATA Diploma being delivered to me, authorize FIATA to publish my name and
country of residence/work in the diploma-holders section of the FIATA website.

Date Name Signature

May 27th, 2023 Nguyen Thi Anh Tuyet
 Freight forwarders education to be completed by the applicant

A - Method of study
Home study course From February 2022 To May 2023

Classroom course From February 2022 To May 2023

B - Professional knowledge

Practical: On-the-job-training From To

Theoretical: University studies From 2020 To 2024

Name and city of university Ton Duc Thang University

Employment record

Date Company name, City, Country Position

Thai Thuan Transport Service Company
From June 2022 to August 2022 Operation Staff
Limited
from to

from to

from to

Qualifications obtained

Date Type of qualification Awarded by

2020 - 2024 Bachelor of Internation Business Ton Duc Thang University

Declaration by the applicant

I hereby certify that the details in this application are correct.

Date Name Signature

May 27th, 2023 Nguyen Thi Anh Tuyet

2
3
TRANG NÀY VILAS ĐIỀN
Examination details to be completed by FIATA Association Member
Name of FIATA Association Member VLAS

Manual used for training purposes, prepared by Vietnam Logistics Research and Development Institute (VLI)

Date of approval (Validation/Re-validation) by FIATA March 31st, 2017

Qualifications obtained and date of examination

Name(s) of examiner(s): HO THI THU HOA Examination date: May 7th 2023

Course (Number of lessons imparted): 14 delivered from February 2022 to May 2023

Please enter the grade of qualification attained in the corresponding column below.

Qualification very good good fair

module scores >80% module score 66-80% module score 50-65%

1. General knowledge of the industry

2. Sea transport
3. Sea container
4. Multimodal transport
5. Air transport
6. Road transport
7. Rail transport
8. Inland waterways

9. Customs
10. Logistics, warehousing/storage/
distribution

11. Liability/transport insurance

12. Dangerous goods

13. Safety and security

14. Information and communication

technology (ITC) in forwarding

Declaration by Examination Board of Association Member

This is to confirm that this applicant has successfully completed the requirement to obtain the FIATA DIPLOMA IN FREIGHT
FORWARDING as per the above qualifications.

Date Stamp Name and Signature