Professional Documents
Culture Documents
Thông báo HB lần 17-DHBKTPHCM
Thông báo HB lần 17-DHBKTPHCM
Thông báo HB lần 17-DHBKTPHCM
(This application form should be written clearly and completed in English. Typing is preferable)
It is advisable to provide detailed information and description for each item below, and attach supporting
documents when necessary
ID Photo 3 x 4cm
DO
________________________ THINH
___________________ HUU
________________
Last name First name Middle name
Permanent Address: 33B/33 block 5, Ho Nai, Bien Hoa, Dong Email address:
Nai 1613342@hcmut.edu.vn
Preferred contact address: (can √ tick more than one)
Present Address Permanent Address Email Telephone Mobile
SECTION 2 - EDUCATION
A. CURRENT UNIVERSITY
Name of university Student ID
HOCHIMINH CITY UNIVERSITY OF TECHNOLOGY 1613342
Page 1 of 3
KANDEN-SS SCHOLARSHIP APPLICATION FORM 2019
From (DD/MM/YY) To(DD/MM/YY) Name/Description of Scholarship
SECTION 3 – FAMILY INFORMATION (Father, mother, wife/husband, children, brothers and sisters)
Relative Full-name Age Occupation Work place or present address
Father Do Huu Thien 57 Farmer 33B/33 block 5, Ho Nai, Bien Hoa,
Dong Nai
Mother Doan Thi Thuy Nhung 46 Farmer 33B/33 block 5, Ho Nai, Bien Hoa,
Dong Nai
Brother Do An Khang 15 Student 33B/33 block 5, Ho Nai, Bien Hoa,
Dong Nai
Sister Do Thi Thuy Trang 24 Worker 33B/33 block 5, Ho Nai, Bien Hoa,
Dong Nai
SECTION 4 - SCHOLARSHIP
Page 2 of 3
KANDEN-SS SCHOLARSHIP APPLICATION FORM 2019
I certify that all the information included in this application and attached documents is complete, correct and
true to the best of my knowledge. I authorize the release of information concerning my background, academic
and financial status to confirm and verify this application.
Note: Kanden-SS Scholarship Program 2019 will not consider illegible, incomplete application packages,
or documents reaching the given address after the deadline (both of original and scan documents).
Applications will not be returned.
Page 3 of 3