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Academic InformationCHECKLIST for UNIST admission (Fall 2016)
name : nationality :
Undergraduate Application form (Fall 2016)
· Check the appropriate box. a Engineering cBusiness Administration
Personal Information English Name: Tastanbek Diana Seytzhankyzy Family / Last name First name Middle (if any) Gender: c Male a Female Passport Number: 5396389 Nationality: Kazakh Place of Birth: Kazakhstan Date of Birth: 1998-11-17 Marital Status: a Single c Married Mailing Address: tastanbekovad01@gmail.com ZIP Code: 160000 E-mail: tastanbekovad01@gmail.com Telephone: 77252495023 Cell Phone: 77755130000 Academic Information ※ In chronological order, list the names and complete addresses (including zip code) of all the schools and institutions that you’ve attended. Indicate the expected date of graduation for the current school.
I declare that the information contained in this application is complete, accurate and true. I understand that any untrue, misleading or omitted information may result in my disqualification from further consideration for admission and will be cause for the rescinding of any offer of admission if discovered at a later date. _________________________________________ ___________________________________ Applicant’s Signature Date (DD/MM/YYYY)
Personal Statement & Study Plan (Fall 2016) Date: 2016-04-22; view: 1156
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