Application Procedure for DUAL MASTER DEGREE :CU & WMG

Application Documents
□ The application form completely filled with signature and date.
□ A photocopy of Academic transcript (in English or certified translation).
□ A photocopy of Degree Certificate (in English or certified translation).
□ A photocopy of TOEFL or IELTS examination result that is not more than 2 years
old.
□ Two recommendation letters (found at the end of this form) one from academic instructor
and the other from academic advisor or direct professional supervisor. The letters are not more
than 2 years old.
□ A photocopy of valid passport. Certificate of name change (if
any).
□ Application fee 600 THB (payable at the office or by bank transfer).

Procedure
Submit by hand or postal delivery to

The Regional Centre for Manufacturing Systems Engineering,

Faculty of Engineering, Chulalongkorn University,
254 Phayathai Road, Wangmai, Pathumwan,
Bangkok 10330, Thailand.

Preferably, email all documents with a clear PDF format to [email protected]

Applicants will be interviewed upon appointment .
For further information, please contact
Tel+ :66 218 6804 | Fax+ :66 218 6805 | Email : [email protected]
 Application for
Postgraduate Studies
Postgraduate Admissions Team
University House, The University of Warwick, Coventry, CV4 8UW, UK

University Number:
Personal Information OFFICE USE ONLY

Last Name (family name)

This is the name under which your record will be
registered and the name you should use on any
future correspondence with us

Title
Please add the title you normally use
Forename(s) (given names) in full
Please add all your forename(s) in the order
in which they normally appear

Informal Name (This is any name you wish to be known

by)
Male Female 
Date of Birth (DD/MM/YYYY) Gender
Other/unknown 
Passport Number (if known)

Course Details Course of Study:

Application Department:
Please state the qualification for which you
are applying

Mode of Study Correspondence Email

Start date (MM/YYYY)

Have you ever been a student at Warwick?
Please enter your university number, if known

Communication with you

Permanent home address
Your permanent home address. This address will also
be used as the address for correspondence unless you
give details below:

Email
We will correspond with you mainly by email

Correspondence address
If you are a resident away from home, eg as a
student, or you may be away from home for a
significant period, please give you contact
address and dates. This is the address/email
address to which we will send official
correspondence relating to your application.
 Full time  Part time 

No  Yes 

Postcode Mobile

Telephone Fax

From: To: (if

temporary)

Postcode Mobile

Telephone Fax
Nationality and residence details
Nationality
Country of permanent residence
The country in which you have been normally Country
resident, except for periods of temporary absence of Birth

Please state the number of years you, your Yourself Your Parents Your Spouse
parents and, if applicable, your spouse, have been : From From From
resident in the UK, Switzerland or other EU To To To
country

Do you have UK Qualified Teacher Status

(QTS)?
YES  NO 
If you have been resident in more than one country
please give dates of residence in each country

Academic History
Are you currently studying at an YES 
educational institution? Name of
If yes please give the expected end date of that course Institution Course
End Date

Qualifications Held
Please state the titles of your qualification(s) as
it appears on your official transcript & certificates

Name of University Dates attended Degree awarded and Date of Completion Principal subjects taken
/ College and (eg 1995 – class eg BA (Hons)
Country 1999) 2i,

Qualifications Still to be Awarded

Name of University Dates attended Degree expected Expected Principal subjects taken
/ College and (eg 2010– and class Date of
Country now) Completion

English Language Qualifications (date) Type of test taken

Have you been educated in the UK for at least a year? Test Score
Have you been educated in an English speaking

country?

Have you been educated entirely in English for your degree?

Note: Please see the Applicant Guideline and Checklist

for further information on English Language requirements

I took / will be taking a language test on

YES  NO 
YES  NO 

YES  NO 

IELTS PTE CAE CPE 

The Score is
 Reference
Referee 1 Referee 2
s
Please name two referees Name Name
If you have been in Higher Education within the last 2 Position Position
years we will normally require two academic references
from teachers in Higher Education (lecturers or seminar Address Address
tutors) who have direct knowledge of your academic work.
If you have not been in Higher Education during the last 2
years you may provide references from your supervisor/
line manager of your current or most recent employer. Tel Tel
Please
see the Applicant Guidance and Checklist for Fax Fax
further information.
E-mail E-mail
Please remember to enclose your references with
your application.
Academic interests and purpose of study
Note: all applicants must complete this section
Please use this space to describe your special academic interests and your purpose and objectives in undertaking graduate study, or,
for research courses, the proposed research subject in as much detail as possible. You may continue on a separate sheet if necessary

If you have discussed your research proposal with a Warwick staff member please provide their name

Career History
Please give your employment history to date or other professional experience, starting with the most recent. You may
include vocation work only if you feel they are relevant. You may attach a copy of your CV if necessary.

Dates from and to Nature of work and position held Name and address of employer
Finance Self  Scholarship  Family Employer
How would you finance yourself at Warwick?

Studentship  N/A 
Scholarship Awarded (Yes/No)

Please state all other Universities that

you have applied to
We ask for this information for our own records – it
does not affect your application to us

Source of Information about Warwick

Please indicate the first and second two most important
sources of information which influenced you to apply for Most
a postgraduate place at Warwick.
Useful: Also
Useful:

Equal Opportunities Other source of information:

Monitoring
The University welcomes applications from people with
specific needs and considers them on the same academic
grounds as those from other candidates. It is helpful to  No Disability Mental Health Condition
know about your specific needs in advance so that we
can discuss any appropriate reasonable adjustment with  Specific Learning Difficulty Physical/Mobility Issues
you. Applicants with specific needs are encouraged to  Blind/Visual Impairment Deaf/Hearing
contact the disability co-ordinator, tel: 024 7657 3734 or Impairment
Email: [email protected].  Multiple Impairments/ conditions
 Social/Communication Impairment
 Unseen/Long Standing Condition
 Other conditions not listed
Are you a registered disabled person?

Yes  No 
Do you have any criminal convictions?

Yes  No 
Please help us to make our equal opportunities policy
effective by placing a tick in the box which is applicable to
you. The information you provide will be used for
monitoring and statistical purposes only.  Arab
 Asian or Asian British- Bangladeshi
 Asian or Asian British- Indian
 Asian or Asian British- Pakistani
 Black or Black British- African
 Black or Black British- Caribbean
 Chinese
 Gypsy or Traveller
 Mixed- White & Black African
 Mixed- White & Black Caribbean
 Not Known
 Other Asian Background
 Other Black Background
 Other Ethnic Background
 Other Mixed Background
 White
Declaration
 I would prefer not to provide this information

I hereby apply for admission to postgraduate studies at the University of Warwick and I confirm that the information
provided above is correct to the best of my knowledge. I understand that any offer of admission may be withdrawn if
I cannot provide documentary evidence of any statements on this form.
Signature
Date
 UNIVERSITY OF WARWICK
WMG
REFERENCE FOR ADMISSION TO POSTGRADUATE STUDY

PART 1: To be completed by the

Applicant
Please complete your name and proposed course of study and send one form to each referee requesting that the reference be
sealed in an envelope, signed by the referee across the seal and returned to you. You should then send your two references
together with the completed application form to CENTRE ADDRESS.

Name of Applicant:
Proposed MSc
Programme:

PART 2: To be completed by the

Referee
The person named above has applied for admission to the University of Warwick as a graduate student. I should be most
grateful if you would provide us with a reference on the applicant’s academic and general suitability to undertake the proposed
course of study by completing the remainder of this form. Recognizing the fact that the time of the referees is valuable and
quite often the request for a serious assessment of the candidate arrives during a busy period, we provide this simplified form
which may enable the referees to save time in responding. However, a traditional letter of reference or any other format you
consider most useful would be very welcome as an alternative. In considering applications, the Selection Committee attaches
great importance to the information which is provided in references and I should like to thank you for your assistance. Your
reply will be treated in confidence by the University and you may be contacted to seek further information.

Please return this form to the applicant in an envelope, signed across the seal to ensure confidentiality or, if you prefer, you
can return the reference direct to the CENTRE ADDRESS.

REFERENCE
1. How long have you known the applicant and in what
capacity?

2. Please state degree and classification/qualification obtained by

candidate.
If results not yet known please give expected result.

3. Please evaluate the applicant on the scale below in comparison with others you have known during your
professional career and indicate which reference group you are using. Please tick the appropriate boxes.

Outstanding Average Below Average Insufficient

information
Maturity
Initiative & motivation
Performance in work / study

Undergraduate students ………………………… Industrial trainees ……………………………

Professional colleague …………………………. Other (Please specify) ……………………….
 UNIVERSITY OF WARWICK
WMG
4. Is the applicant effective in working with others?
(Consider whether the applicant completed assignments, works well as a team member, takes initiative, assumes leadership,
performs well under stress)

5. Rate the applicant’s achievements compared to those of his or her peers.

6. Only for applicants whose first language is not English.

Describe the applicant’s ability to comprehend, and communicate in English both orally and in writing.

7. Please add any additional statement that may help in assessing the applicant’s suitability for the course.

8. Please tick appropriate box

I strongly recommend this student’s admission to your course.

I recommend this student be admitted.

I recommend with some reservation that this student be admitted.

I recommend with significant reservation that this student be admitted.

I do not recommend this student’s admission to your course.

Name of referee (Block Capitals Please):

…………………………………………………………………………………………… Position / Title:
………………………………………………………………………………………………………………………
Address: ………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
Telephone: ……………………………………………… Email: …………………………………………………………

Signature of Referee: ……………………………………… Date: …………………………………………………………

Thank you for taking time to tell us about the applicant