Thammasat – Aberystwyth Summer School Application Form 2016

Section One:Personal Details and Contact Information

Title / Mr/Mrs/Ms/other / Family Name
Given name (s)
Gender / Male / Female / Passport Number
Date of birth
Nationality
Country of birth
Term time address / Home address
Email address (s) / Home telephone number
Skype id
Do you have a disability? Yes/No
If ‘Yes’ what adjustments do you need us to make?

Section Two:Previous Experience of English

Have you studied in the UK before? YES/NO
If ‘Yes’ please complete the ‘Previous Study in the UK’ form attached
Have you taken a test in English (eg, IELTS) YES/NO / Which test?
What was the date of the test?
What was your score? / Listening: / Reading: / Writing: / Speaking:
Overall score:

Section Three: Future Degree Course

Do you plan to study for a degree at Aberystwyth University after the summer school? YES/NO
If yes: Please choose
Which subject?
Have you applied? / YES/NO
Have you received an offer? / YES/NO

Section Four: Document Checklist

In order to process your application, please attach the following documents to this form:

 Scanned passport copy IELTS (or other SELT test certificate)

 Certificates and transcripts from your university (with certified translation if these are not in English)

 Letter of reference

By signing my name below, I certify that (please tick)

 I have attached copies of my passport, IELTS (or other English test) certificate and academic qualifications

 The information I have given in this form is correct.

 If I am accepted as a student at Aberystwyth University, I will abide by the Rules and Regulations of the University.

 If I am accepted as a student at Aberystwyth University and start my course, I will pay all Summer Schools fees before they are due (including the requested deposit)

 I agree to the University using my personal data to process my application

Signature of applicant:

Date:

We will assess your application to ensure that you take the right course for your level of English, and thatyou have the necessary academic qualifications for your chosen degree. If your application is successful we will send you an offer letter and invoice. You will need to pay a deposit of £250 to secure your place on the course.

All personal data provided by you will be treated strictly in accordance with the Data Protection Act 1998.

This form should be completed and returned to:

Amarjeet S Mutneja (International Officer):

Tel: +44 (0) 796 4246740 / +44 (0) 1970 621847