student application form for bachelor’s programskeisie.university/files/bdaf.pdf ·...

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Website: www.keisie.university | Call: +82-33-243-5657 | Email: [email protected] STUDENT APPLICATION FORM FOR BACHELOR’S PROGRAMS Shaded boxes are not to be completed 1. Personal details Student no. Date of birth Day Month Yr Student ID no. Department Citizen of First name Middle name Last name Home address Postcode. Postal address Home phone: Fax: Mobile: Office address during Bachelor’s study (Department) Office phone: Fax: E-mail Admission date Present employer’s name and address Enclose the following with the application: 1. Certified copy of previous highest degree certificate or equivalent education 2. Transcript of marks 3. Certified copies of other degree certificates or diplomas 4. Project description 5. Other relevant information such as relevant work experience The Complete filled up application is to be addressed to KEISIE International University: Buahn-gil 4 (Hupyeong-Dong) Chuncheon- Si, Gangwon-Do South Korea 200-961 Phone: +82-33-243 5657 Email: [email protected]

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Page 1: STUDENT APPLICATION FORM FOR BACHELOR’S PROGRAMSkeisie.university/files/BDAF.pdf · 2018-01-12 · STUDENT APPLICATION FORM FOR BACHELOR ’S PROGRAMS . Shaded boxes are not to

Website: www.keisie.university | Call: +82-33-243-5657 | Email: [email protected]

STUDENT APPLICATION FORM FOR BACHELOR’S PROGRAMS

Shaded boxes are not to be completed

1. Personal details

Student no.

Date of birth

Day Month Yr

Student ID no. Department

Citizen of

First name Middle name Last name

Home address

Postcode.

Postal address

Home phone:

Fax:

Mobile:

Office address during Bachelor’s study (Department)

Office phone:

Fax:

E-mail

Admission date

Present employer’s name and address

Enclose the following with the application:

1. Certified copy of previous highest degree certificate or equivalent education 2. Transcript of marks 3. Certified copies of other degree certificates or diplomas 4. Project description 5. Other relevant information such as relevant work experience

The Complete filled up application is to be addressed to KEISIE International University:Buahn-gil 4 (Hupyeong-Dong)

Chuncheon- Si, Gangwon-Do

South Korea 200-961

Phone: +82-33-243 5657

Email: [email protected]

Page 2: STUDENT APPLICATION FORM FOR BACHELOR’S PROGRAMSkeisie.university/files/BDAF.pdf · 2018-01-12 · STUDENT APPLICATION FORM FOR BACHELOR ’S PROGRAMS . Shaded boxes are not to

Website: www.keisie.university | Call: +82-33-243-5657 | Email: [email protected]

2. Bachelor’s Programme that you are applying for ( BA/ B.Com/ B.Sc./ BBA)

Planned Completion of degree: Semester: Year:

3. Education (certified copies of other degrees and other certificates must be enclosed)

Education/degree Institution University Examination

year/

term

Final grade

4. Work experience if any

Employer: Position Duration

6. Academic Qualifications

S. No. Course Title Course

Period

Course

Type

Year of

Passing

School/

College/

University

Percentage

/

Marks

Page 3: STUDENT APPLICATION FORM FOR BACHELOR’S PROGRAMSkeisie.university/files/BDAF.pdf · 2018-01-12 · STUDENT APPLICATION FORM FOR BACHELOR ’S PROGRAMS . Shaded boxes are not to

Website: www.keisie.university | Call: +82-33-243-5657 | Email: [email protected]

10. Funding plan (documentation of this funding is to be enclosed)

Funding source Type (scholarship, employed etc.) Accepted/duration

to

% Work duties

14. List of enclosures:

I confirm that the information given in this form is correct, complete and I have personally signed this form. I agree to all the Terms & conditions of KEISIE International University. I also understand that KEISIE International University is a private university located in South Korea and I have checked their recognitions and I am fully aware of the same. I also understand that Fees once paid will not be refunded

under any circumstances. All disputes shall be subject to jurisdiction of law in South Korea. I also understand that since it’s a foreign

university and hence it may not be recognized by my national UGC, DOE or any other State Authorizing Board as it applies to my country

of origin, and I agree to abide by the conditions set out by KEISIE International University.

Signature:

Place:

Date:

Applicant’s signature

KEISIE Admission Office Use Only: Assessment and recommendation from the Department

Are the conditions for admission met?

Is the candidate’s funding adequate to grant admission?

Is the project feasible given the available resources within the prescribed time?

Recommendation by the Department

Admission

Not to be admitted

Reasons (optional):

Date Signature