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ACCEPTANCE OF ADMISSION DOCTORAL DEGREE PROGRAM. Application No. (Family or Last Name) (First or Other Names) ‘Pease print below your names inthe order in which you wish them 0 appear on your future ATT idemifiation card transcript and degree cerifiate. (ln Block Letters) Please tick one box only Fs accept the offer of admission to study at the Asian Institute of Technology starting on 09 August 2013. | am not aware of any circumstance likely to prevent my attendance at AIT for the full uration of the program to ‘hich I am admitted, (Students who are responsible for family or other dependants must make good provision for their care before coming to AIT. This is particularly important in the ease of students whose families ive ‘outside Thailand since it may be dificult to return home during the program of study. No family members will accompany me or join me at AIT until married accommodation on campus has been confirmed in writin ) Bigned) Baie) 1 do mot accept the ofer of anission to study atthe Asian Insitute of Technology stating on 09 August 2013 aun. do nor wish to reapply. Gigned) - (Datey NO. 1 do nor accept the offer of admission to study at AIT starting 09 August 2013. / request that my application be re-activated for the January 2014 semester intake, In order to process the re-application, the application processing fee has to be pad. Gigned) (Date) (NO, 1 do nor accept the offer of admission to study at AIT stating 09 August 2013. request that my aplication be reactivated for the August 2014 semester intake. In order to process the re-appliaton the application processing fee has o be pai Giened (Dawe) Leen EE * Doctoral degree program students can be amit either inthe January semester or August semester intake Admisons and Scholarships ‘Nowomber 2012

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