ENROLLMENT CONFIRMATION FORM 2019
Admitted students must formally either accept or decline our SIM’s offer of admission by completing
and returning the enrollment confirmation form.
Accepting our offer of admission allows us to secure your place in our 2019 freshman class. If you choose
to decline our offer of admission, you are withdrawn and your place will be released to another applicants.
Student name ______________________________ Family name_____________________________
E-mail address _____________________________ Mobile phone ____________________________
CHECK ONE
YES, I accept my offer of admission to the SIM for
Biomedical Science
Bioresources and Environmental Biology
Materials Science and Nano Enginnering
Bioinnovation
Thank you, but I am declining your offer of admission.
Student signature _______
Date ____________________________________
SUBMIT FORM VIA E-MAIL
To ensure entry in the term of your choice, please return the enrollment confirmation form
as follows:
1st round of direct admission 2019: 24-28 April 2019
2nd round of direct admission 2019: 17-19 May 2019
3rd round of direct admission: 7-9 June 2019
International Education and Administration Unit
Division of Salaya campus
Faculty of Science (Salaya campus), Mahidol University
Phuttamonthon 4 Road, T. Salaya, Nakhonpathom 73170, Thailand
E-mail: [email protected]
Phone: +66 2 441 9820 ext. 1199 | www.sc.mahidol.ac.th/sim
