ph.kku.ac.th · &ssz r 'm £ 8552 '12 m e 8552 ~5 qz 8ssz '5 oz rl~~ulu lssz .c)...
TRANSCRIPT
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runi'inuGuusutttiu (Send back to Student Affairs at Khon Kaen-University)
w a ~uIu~u?~ (Within)
d ( d & M
tehmsutduranm~JnTln ~wnzidua?tua'Y&u~nntl
'lud~s%a%quais#m1 (Appllcatlon Fonn)
Yni4in~1 (AcPdemicYear)
4~ - aqn (mu1'lnu) Name- Family Name h Thai
48 - aQa (ninlnjnqu) Name- Family Name In Ewlish
' d zH"dsrdiR'?u'niln~i mo43lun' Tnsrlim' Shrderd ID No. E-mail Address Phone No.
40 - UQA o~oadi&nni Advboh Name - FsmUy Neme
&%;t-tn.~#vrd ' mw:: n i~3sl Faculty Depubnent Year Phom No.
- f!mnodlunat:: aiui1r7 &d r-scurtu hyr Year
13a%6 - &u . W.H. olt! i3 u'y5iornnui Biithday Month Year ~ e e Rellglon
ST~c~dsrdiPI'? lddcd Hiotoy
~i3ri11ui1Zu ~ I U R
HomeTavn Tambon
RUU l ~ s u b l ~ 0 Street Disbid
o'Jn% rllirld~~ciio' Tnshn' provhe Pwtcode Phone No.
do$ilop3u no~n uv. no~nd nYa4 o~uonzrnijnmiiu nogni yYtu+nuon uv. PlEseld Addms
.- . $~n$i-iut ~ B W D I T ~ d &urnurn r 2
WQM %Dt) Dormltoly's Nams Moo Sol
QUU 61Y.l~ 6 2 1 ~ dln~ Street Tambon District
im"~ ~Hir'lllslrriid Tnshn' Provinoe Postcode Phone No.
A fl%lLUUlQAUBZPfU G.PA
Tun~~b~i~tfivlhi"u s~niw4mi - w UI JIMl'dMUlBUVOUL6fI~
SchOlaIShip received during study at Kh0n Kaen University
Yn1s8nvi diu?ur?u uin SohofaM5, Name Academic Year . Amwnt
doqu . Ynnndnv? ~ ~ U ~ U L ? U u 101 Sholamhip Name Academlo Year Amwnt
40qu 3n15dn~t . Biu.ru311 u ~ n Sdroiarship Name Acsdernlc Year Amount,
!Yftndnw 61u?ui3u urn AeaIemk Year Amount
iln-iadn~l 3lu~u~311 uin Aadmic Year Amatnt
- 2 ~%l l l l lSS~ l lSV? (Fpmlly Status)
2~148 UlUtTQtt O1t! 9 FaIhatl Name Family Name
.d doiilootiwua.r3ni d~nifiiu d~u~aud nyn-vou ~ ~ n t A & n u of Faher
nuw Aiua LVPI/ 6imo street Tambon MmM
OYJnlk .~tin'lrlanniiu' . TvlshiPPn' Pfovlnce Posbde Phone No.
clhuwiia~ dj1~1nU'~ s ' I u S # ~ ~ J ~ ~ ~ J U uin Father'socupabn Position l n m per month
A SJISRI v ~ l wlola~a D I ~ TI Wdhefs Name Family Name
d Age
M"od~o~~'uvasuisni ~DN$IU y"lwtnvn WXM .A - t i f ~ ~ Present Address of Mother
nuw i t v a uvw/ b i m ~ Street Tarnbon District
fian%l sfiaads~Gu" Tms8n6 Province Postcode Phone No. . o~%vosuisni 41uwds sa%8dedou UIW Mother's Occupation Position income per month
i n m s ~ o l s ~ v o s Y ' ~ i ~ ~ a w ' ~ Maniage Status
0 ugj#9;7uflYu Maniage
0 nth D i m d
P 9~18a1irinsru Father D e d
O uismi$audnssu Mother Deoeased
D lr inr iu~~f luo~~"~i /uisni Parent's Agiess Unknown
C3 $uq (53.4) OUler
a !di%Q~fi~~l / U15R7 No Data bfparent
In case your guardian is net your parent
1 - %El - tlqfl g~d~fl lsz d Y L~U~VDJISU Guardian's Name - Fmity Name Relationship to you d n~C;ito~~uvetr$~dnx:: &v$iiiu ~ ~ U L R . U ~ - M G ~ -mu- Pmsent Address Mco sd
nuu 61ufi 1vn1 bimo Street Tambon Diibitt
c'n% sn'ar'ldsu68 'Lns&"Nui PrOviMe Postwde Phone No.
oi%~pdni5:: 6iunds s i u ~ ~ ~ o ~ ~ o u uln Ooarpation Pobition Imonmpermonth
4 w 3 . P 6 i i ? d o a % s g ~ ~ 6 1 ~ ~ ~ i i n ~ 1 nsanlroadnrnr~~~ m~!upr?~n$eavi1~%~bp1~ps"awd~1afi~~d~~'1~ Hrve you pawpated in campus or other owanlzation's actiiilies hnd have any ideas to do for the common good of what
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medqa t$~ds::lu~~?'~nia403311) l-he reason for applying for the scholarship ( G i i thc important data of biography of applimnt and fsmity for consideration)
~wr~ir 'Yrm~ito"aniul i i~~ut~u~~1~~3~qnJ~~ni nin~~ion~1~~4iim~d~lF;IrYT4& uni'inai&uici?routrriur9udo &rr~I~iiumulrtiini3~1~~~~~ln~~im~nir1d~u~t1~tH"~m~~r
I certily t h & h abwe in famulation is trus. I all undemtamd that furnishing fault In formaner may mu# b nwoartlon dthe mhohhlp or dWptinay don
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Recornmendahon of Advisor1 Student Affair's Teacher
hh a~oizi$&nltv o~o~~dthu?ion~ru'ni7n~v 1 . Advsorl Student ARaYs Teacher
oi~is;i l iuw"~)]u~u"n$n~~~~~uiu/ui~ai~ nn: Of Mr./ Ms Fawny
5% iu3 - d d Bnaiui~utf lu~h~i5eru'n5uas"Yy~ni5#n~1vo~~ndn~~~~ndia
? ?Stud;nt ID - Year In offer the follow oplnlons about the student
KJii
1. n~iue~uirouos~~~aln"n~z~u'~aYu6~~4i iu~unizialn~i How much flnandal support the guardians provide?
j. . . . . .
2. rns¶#4iufiuuo~u'n#n1~i Expenditure of Student
<,., , I 3.n.nurlsewqS na~u~e~lo¶oi9unis%n~ii~~::n~~uniu~~nddi~~niz%np1~1~
At&nllvsness.'Behavlor and Potential for echbvtng guardian
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4. Ua~motiur~u~ Y'. -.
Other Comment :* -> '. . . . - . . * \.. ~ z ~ .
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