正大管理学院研究生院
Panyapiwat Institute of Technology
MBA 硕士研究生申请表
Application Form for Graduate Student
 
 
请申请人认真阅读本表的注意事项后再填写下列诸项
Please read the “Notices” on page 4 carefully before filling up the form.
 
1. 申请人简况/ Personal information:
护照用名及中文用名/ Names on Passport and in Chinese:
 
姓/ Family name* :
名/ Given name* :
出生日期/ Date of birth* : 年/ Year  月/Month  日/ Day 
出生地点/ Place of birth* :
性别/Gender* :
国籍/ Nationality* :
母语/ Native language* :
宗教/ Religion* :
婚姻状况/ Marital Status* :
工作单位/ Employer affiliated* :
职业/ Occupation* :
住址/ Permanent Address* :
邮编/ Postcode* :
电话/ Tel* :
联系地址/ Present Address* :
邮编/ Postcode* :
电话/ Tel* :
E-mail* :
 
2. 受教育情况(填至申请日)/ Educational background (until the date of application):
 
学历
Degree
学校名称/所在国家
Name Of Institution/Country
专业
Field/Branch
学习时间
Date of Study
学分
GPA
起 / From
止 / To
高中/中专 / High School
大专 / Vocational Certificate
本科 / Bachelor's Degree
其他 / Others
 
3. 工作经历/ Working Experience:
 
工作单位
Employer affiliated
起止时间
Duration (from/ to)
从事工作
Job Description
职务及职称
Duty & Position
 
4. 语言能力/ Language proficiency:
 
语言 / Language
听 / Listening
说 / Speaking
读 / Reading
写 / Writing
汉语/ Chinese:
英语/ English:
其它/ Other:
 
*请用很好、好、一般或不会自行评价并填入空格/ Evaluate your ability as Excellent, Good, Fair or Poor.
汉语水平考试（HSK）成绩及等级/ Scores or Grading of HSK:
学习汉语的时间及地点/ Date and Place of studying Chinese language:
 
5. 学习计划/ Academic Plan of Learning (check one of the given boxes only):
 
博士研究生/ Doctoral candidate 硕士研究生/ Master’s degree candidate
高级进修生/ Senior Scholar 普通进修生/ General Scholar
 
6. 申请人经费来源/ Source of financial support (check one or more):
 
公司/机构/Organizations 家庭资助/Family 个人支付/Individual
 
推荐您来正大管理学院研究生院学习的机构或个人 /
Please specify the organization or person who recommends you to study in Panyapiwat Institute of Technology
 
7. 申请人在泰国保证人或机构/ Your guarantor （individual or organization）charging your case in Thailand:
 
名称/ Name:
地址/ Address:
电话/ Tel:
传真/ Fax:
E-mail:
 
8. 申请人是否曾在泰国学习或任职？如“是”，请注明具体情况/ Ever studied or worked in Thailand before.
Please specify if ‘Yes’.
 
是/Yes:
学习或任职单位/Institution or Employer:
在华时间/Time in China:
否/No:  
 
9. 您是通过何种途径了解中文研究生院的/ Media Exposure:
 
海报 / Poster 报纸 / Newspaper 电台 / Radio
宣传栏 / Booth 杂志 / Magazines 电视 / TV Advertising
宣传册 / Brochure 其他 / Others 
 
您曾经报读硕士研究生吗？如果有，请列出您所报读的学校、院系及专业 /
Have you ever applied for post-graduate program? If so, please identify name of institution, faculty, and major ?
 
您希望通过中文硕士研究生的学习获得什么 / What are you expectations in joining our program ?
 
 
申请人保证/ I hereby affirm that:
1. 申请表中所填写的内容和提供的材料真实无误；
All information and materials given in this form are true and correct;
2. 在泰国期间遵守法律、法规，不从事任何危害泰国社会秩序的、与本人学习身份不相符合的活动；
During my stay in Thailand, I shall abide by the laws and decrees of the Thai government, and will not participate in any activities which are deemed to be adverse to the social order in Thailand and are inappropriate to the capacity as a student;
3. 来泰国后到正大管理学院研究生院报到注册，不无故要求变更学校和所学专业；
After arrival in Thailand, I shall register at the Graduate School of Panyapiwat Institute of Technology and will not make any changes in my field and institution of study without valid reasons;
4. 在学期间，遵守学校的校纪、校规，全力投入学习和研究工作。尊重学校的教学安排；
During my study in Thailand, I shall observe the rules and regulations of Panyapiwat Institute of Technology, and will fully participate in my studies and researches, and will follow the academic arrangements in the program arranged by the Institute;
5. 如违反上述保证将接受泰国法律、法规或校纪、校规的惩处。
Any violations against the statements above, I will be judged by the decrees and laws in Thailand, and/or regulations of the, I will not lodge any appeal against the decisions of the relevant authority
 
 
 
 
 
正大管理学院研究生院
联 系 人：王老师
电 话：+66 81 376 7376, +66 2 648 2973
传 真：+66 2 648 2960, +66 2 664 8988
电子邮件：c-mba@pit.ac.th
网 址：www.pit.ac.th
地 址：正大管理学院Panyapiwat Institute of Technology
Address : 85/1 Moo 2 Chaengwattana Rd, Bang-Talad, Pak Kret, Nonthaburi, Bangkok, Thailand 11120