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    1. PERSONAL INFORMATION

    Family name:

    Middle name(s)

    Given name

    Gender

    Date of birth (dd/mm/yyyy)

    CONTACT INFORMATION

    Passport No. / ID card No.(if any)

    Expiry date of Passport (dd/mm/yyyy)

    Nationality

    Phone Number

    Email

    2. EMERGENCY CONTACT

    Full Name

    Relationship

    DATE OF BIRTH (DD/MM/YYYY)

    Permanent Home Address

    Phone Number

    Email

    3. PROGRAM REGISTRATION

    Please select your top two program choices

    First-choice program

    Second-choice program

    4. ACADEMIC RECORDS

    Names of High School Attended

    High school’s Location

    Year of High school Graduation

    5. Certificate of English language proficiency (if any)



    6. Certificate of Vietnamese language proficiency (if any)


    Attach file (BIRTH CERTIFICATE, PASSPORT, CERTIFICATE)

    I confirm that the information I have provided on this application form is (to the best of my knowledge) true, accurate, current and complete; and I agree to notify the University promptly if any information contained on this application form should change, in order to keep it true, accurate, current and complete.