MINISTRY OF EDUCATION AND TRAINING SOCIALIST …



MINISTRY OF EDUCATION AND TRAINING

CAN THO UNIVERSITY

APPLICATION FORM FOR Master PROGRAM

in aquaculture

To: CAN THO UNIVERSITY MASTER PROGRAM ADMISSION COUNCIL

Name (capitalize):.................................................................……………Male (, Female (

Date of birth: ……./……/19….. Place of birth:……..............................................................................

ID Card No (for Vietnamese candidates):…………………Date of issue:……………Place of issue:

Passport No (for International candidates): …………………. Date of issue:…………… Place of issue:…………………….. Expiry date:……………………………………

Nationality:……………………………………… Religion:………………………………………….

Home address (village/ward; district; province): ………………………………………………………………………………………….

Mailing address:………………………………………………………………………………………...

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Current employer:………………………………………………………………………………………

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Telephone number:…………………………

Email address:…………………………………………………………………………………..............

Father: (name; day of birth; and occupation):………………………………………………….. ……..

Mother (name; day of birth; and occupation):…………………………………………………………

Undergraduate field of study:…………………………………………………………………………..

Form of training: Full-time ( Part-time ( Others…………………….. (Please specify)

Ranking: Excellent ( Good ( Fair ( Average (….......................................................................

University/College:……………………………………Year of graduation:…………………………..

I would like to apply for the Master Program in Aquaculture at Can Tho University in 20…….

Sincerely yours,

…………, day/month/year

Applicant

(Signature and full name)

MINISTRY OF EDUCATION AND TRAINING SOCIALIST REPUBLIC OF VIETNAM

CAN THO UNIVERSITY Independence - Freedom – Happiness

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|Photo 3 x 4 |PERSONAL PROFILE |

I. PERSONAL INFORMATION

Full name:.................................................................……………Male (, Female (

Date of birth: ……./……/19….. Place of birth:……..........................................................................

Nationality:…………………………. Religion:………….

ID Card No (for Vietnamese candidates):…………………………Date of issue:……………Place of issue:…………………….

Passport No (for International candidates): ……………………. Date of issue:…………… Place of issue:…………………….. Expiry date:……………………………………

Current occupation:……………………………………………………………………………

Marital status: ( Single; ( Married;

Number of children: …………………

II. CONTACT INFORMATION

Contact details:

Mailing address…………………………………………………………………………….

Telephone……………......Mobile phone……………………………..Email ………………

Contact person in case of emergency

Full name…………………………………………….Relationship ………………………… Residential address ………………………………….Place of work ………………………………

Mobile phone………………………………………...Email…………………………………………

Home country contact details (For International applicants)

Mailing address………………………………………………………………………………….

Telephone………………………………….....................................................................................

III. ACADEMIC HISTORY

Undergraduate training

Major 1: Form of training : .............................

Training time: from…............. to…............... University/College: ……………………………………………

Ranking: Excellent ( Good ( Fair ( Average (….......................................................................

Year of graduation:…………………………………………………………………………………….

Major 2: Form of training : .............................

Ranking: Excellent ( Good ( Fair ( Average (….......................................................................

Year of graduation:……………………………………………………………………………………. Foreign languages:

|Languages |Excellent |Good |Fair |Poor |Type of test and results/date of issue |

|English | | | | | : / |

|French | | | | | : / |

|Other (………………) | | | | | : / |

IV. SUMMARY OF WORKING PROCESS (after graduating from Bachelor’s program up to present)

|Time |Work and Locations |

| |(Please specify the type of job and workplace in accordance with each period of time) |

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V. STATEMENT OF PURPOSE

(Write a 300-500 word essay in English on why you wish to study this program and your future plans)

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VI. OTHER INFORMATION

Wishing to apply scholarship from the program (there is limited number of scholarships, only 2 for International and 2 for Vietnamese students)

( Yes ( No

Source of funding for your study in Vietnam:

( Self-funding

( Other scholarship (…………………………………………..)

VII. APPLICANT’S DECLARATION

I declare that to the best of my knowledge all particulars supplied by me are correct and complete. I am aware that any false statements will lead to my application being rejected.

I hereby undertake to strictly comply by the laws and regulations of the Vietnamese government and the regulations of educational institutions and accommodation providers throughout my stay in Vietnam.

Applicant’s signature Date:

PHOTO SHEET

1. Please stick 4x6 cm photos in the boxes below and write down your personal information at the back of each photo (please stick the glue only in the middle of each photo).

2. Use only 4x6 cm photos, and the photos must be taken within the past three months.

Full name: ............................................

Date of birth: Place of birth:

Applied specialization:..................................................................................

MINISTRY OF EDUCATION AND TRAINING SOCIALIST REPUBLIC OF VIETNAM

CAN THO UNIVERSITY Independence - Freedom – Happiness

CURRICULUM VITAE

I. PERSONAL INFORMATION

Full name: Sex:

Date of Birth: Place of Birth:

Hometown (father’s) address: Ethnicity:

Contact address:

Telephone: E-mail:

II. EDUCATIONAL BACKGROUND

1. Bachelor’s degree (form of training, place of study, field of study and graduation year)

|Bachelor’s degree |Form of training |Place of study |Field of study |Graduation year |

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2. Foreign language(s) (Specify the main foreign language and the certificate – if any)

(Enclose any foreign language certificate: TOEFL, IELTS, DELF…..)

|No |Excellent |Good |Fair |Average |

|English | | | | |

| | | | | |

| | | | | |

III. PROFESSIONAL WORKING PROCESS

1 Working process

|Time |Place of work |Responsibilities in charge/Position |

|(from ….to …) | | |

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IV. RESEARCH EXPERIENCE (If any)

1. Scientific research (List research projects the applicant implemented or participated in)

|No |Name of Project |Status (completed / being |Level (university, provincial, |Position |

| | |implemented) |ministerial, international |(primary researcher/ |

| | | |cooperation) |Participant) |

|1 | | | | |

|2 | | | | |

2. Research projects (articles/books, ...) published (If any) (Please list names of authors, years, names of projects)

(For articles, please say the names and volumes of the journals and page numbers of the articles);

(For books, please say the names of publishers and page numbers)

……………., day/month/ 20

Applicant

(signature and full name)

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Photo

4x6cm

Photo

4x6cm

Photo

4x6cm

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