河内工业大学越南语教学系统

Full name

Date of birth

Sex

Male

Female

Place of birth

Nationality

Passport No

Address prior visit to Vietnam

Address

Phone

Fax

Contact address in Vietnam (if any)

Address

Phone

Fax

Person to be notified, in case of emergency

Name in full

Address

Phone

Fax

Family background (Father, mother, spouse, brother/sister)

Ord	Full name	Relationship	Age	Occupation	Present address	Function
1

Name of high school you graduated

Year of graduation

Classification

Special results (if any)

Foreign language proficiency: (Numbering: 1 = Excellent, 2 = Very good, 3 = Good, 4 = Fair, 5 = Poor)

College (Affiliated Faculty), department to be registered

Course

Branch

Academic year

Applicant’s category

Government scholarship

Scholarship from oganizations

Self-financing

Budget

Full scholarship

Partial scholarship

Self finance

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