1

/

STUDENT exchange Application Form

King Mongkut’s University of Technology Thonburi

/ /
Application for
☐1st semester (Aug.-Dec.) / ☐2nd semester (Jan.-May) / ☐Summer Session (June-July)
Begin: Date …Click here to enter text.… Month …Click here to enter text.… Year …Click here to enter text.… / End: Date …Click here to enter text.… Month …Click here to enter text.…Year …Click here to enter text.…
☐Bachelor’s Degree / ☐Master’s Degree / ☐Doctoral Degree
Faculty/ School Choose an item.
Field/ Program of Study …Click here to enter text.…
Personal Details
☐Mr. / …Click here to enter text.… / …Click here to enter text.… / …Click here to enter text.…
☐Ms. / First name / Middle name / Last name
Home university …Click here to enter text.… / Country …Click here to enter text.…
Field/ Program of Study …Click here to enter text.…
Citizen ID no./Passport no. …Click here to enter text.… / Age …Click here to enter text.… years / Nationality …Click here to enter text.…
Religion …Click here to enter text.… / Allergy…Click here to enter text.…
Native language / ☐English / ☐Other ……Click here to enter text.….
Please specify your English test score (Enclose a reference)
☐TOEFL …Click here to enter text.…☐IELTS …Click here to enter text.… ☐Others …Click here to enter text.…
Contact person, in case of emergency
Name-Surname …Click here to enter text..… / Relationship …Click here to enter text.…
Telephone …Click here to enter text.… / Facsimile …Click here to enter text.… / E-mail address …Click here to enter text.…
In case you have been accepted to study,
  1. KMUTT shall send a Letter of Acceptance (LoA) to the following address for correspondence …………………
…Click here to enter text.…
  1. You will apply for a visa at Royal Thai Embassy/Consulate at (city) …Click here to enter text..…
(country) ……Click here to enter text..…
(See more details at

LEARNING AGREEMENT

KMUTT / Matching to / Home university
Course Code / Course Name / Course Code / Course Name
Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /
Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /
Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /
Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /
Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /
Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /
Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /
Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /
Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /

Why do you apply to participate in a Student Exchange Program with KMUTT?

…Click here to enter text.….

Declaration: I declare that the above information is true. I understand that the University reserves the right to vary or reverse any decision regarding admission or enrolment made on the basis of incorrect information. Signature …Click here to enter text.….. Date …Click here to enter a date.…

Please send this completed form with 1) Letter of Nominationissued by your university 2) a copy of transcript, 3) a copy of passport, 4) English language proficiency test (if any) or Recommendation Letter, 5) a medical certificate and 6) other necessary requirement (if any) by mailing to

The Office of International Affairs, King Mongkut’s University of Technology Thonburi, 126 Pracha-u-tit Road, Bangmod, Thungkru, Bangkok 10140, THAILAND, Tel: +66 2470-8342, +66 2470-8344, +66 2470-8346 Fax: +66 2470-8346

Note: Combine the application and other documents into 1 pdf file named (your name).pdf in case of applying by email.