D¸n

¶nh
ch¬ng tr×nh hîp t¸c ®µo t¹o

§¬n Xin Häc

I. S¬ yÕu lý lÞch:
1. Hä vµ tªn: ……………………………………………………………………………...
Nam N÷
2. Ngµy th¸ng n¨m sinh: …………………….……………………………………
…………………………
3. N¬i sinh: …………………………………………………. Quèc tÞch: ………………
………………….
4. Sè CMTND/Hé chiÕu: …………………………………………………………………
………………….
5. Hé khÈu thêng tró: ………………………………………………………………………
………………
6. §Þa chØ hiÖn t¹i: …………………………………………………………………………
…………………
7. §iÖn tho¹i: …………………………………………………………………………………
………………
II. Chuyªn ngµnh ®¨ng ký:
Tin häc
Tin häc - §iÖn tö ViÔn th«ng
Tin häc - Qu¶n trÞ Kinh doanh
III. Kho¸ häc ®¨ng ký:
Ch¬ng tr×nh Genetic Singapore - §¹i häc B¸ch khoa Hµ Néi
Ch¬ng tr×nh häc song song Genetic Singapore - §HBK HN vµ §¹i häc C«ng nghÖ
Quèc gia Nga - MATI.

Trong 2 Ch¬ng tr×nh trªn ®¨ng ký c¸c giai ®o¹n sau:

Giai ®o¹n C¬ së: 1 n¨m häc ®Ó cã chøng chØ kho¸ c¬ së.

Giai ®o¹n Diploma: 3 n¨m häc (1 n¨m C¬ së + 2 n¨m Diploma) ®Ó cã b»ng
Diploma.
Giai ®o¹n Higher Diploma: 5 n¨m häc (1 n¨m C¬ së + 2 n¨m Diploma+ 2 n¨m
Higher Diploma) ®Ó cã b»ng Higher Diploma

IV. Tr×nh ®é ®· cã:

B»ng cÊp cao nhÊt ®¹t ®îc: ………………………………………………………………………
…………..…………….
Nh÷ng b»ng cÊp, chøng chØ kh¸c: ……………………………………………………………
………………………….….
V. Sau khi hoµn thµnh ch¬ng tr×nh häc nµy b¹n cã muèn tiÕp tôc häc n©ng cao ®Ó ®îc b»ng
th¹c sÜ t¹i c¸c trêng:

Trung t©m ht®tqt genetic: Nhµ A17 - tÇng 2 §¹i häc B¸ch khoa Hµ néi. §T: 8.681016
 Photo
graph

joint training progrgama

Application
form
I. Personal particulars:
1. Full name: ……………………………………………………………………………...
Male Female
2. Date of Birth: …………………….…………………………………………………….
……………………
3. Place of Birth: …………………………………………………. Nationality: ………
…………….…..….
4. ID No./Passport No.: ……………………………………………………………………
………………….
5. Permanent residence: …………………………………………………………………
…………...………
6. Contact address: …………………………………………………………………………
…………………
7. Tel: …………………………………………………………………………………………
…………………
II. fields of study:
Informatics
Informatics - Electrical Engineering
Business Information System
III. courses:

HUT - Genetic Singapore Joint Program

HUT - Genetic Singapore Joint Program - Russia State University of
Technology - MATI

In two programs mentioned above, you have 3 stages to choose:

Basic Course: 1 year
Diploma in Computer Studies: 3 years (1 year of Basic course + 2 years
of Diploma)
Higher Diploma in Computer Studies: 5 years (1 year of Basic course + 2 years of
Diploma + 2 years of Higher Diploma)
IV. academic qualifications:
Highest qualification: ………………………………………………………………………
………..……….
Others: …………………………………………………………………………..……………
200 Middle Road, #10-01 Prime Centre, Singapore 188980 ; tel: 065-63397588; fax:
065-63381442