Postal Address: Street Address: (For local calls,

P.O. Box 4 Km. 42 Paholyothin Highway Dial 02 before the tel/fax nos.)
Klong Luang Klong Luang Tel. (66-2) 524-5032-37
Pathumthani 12120 Pathumthani 12120 Fax: (66-2) 516-0120
Thanland Thailand http://www.ait.ac.th

Application Number:__________________________

FINANCIAL ASSURANCE FORM

Master’s Program (24 Credits AIT Scholarship)

A. TYPE OF SUPPORT: Please have the person or organization / institution / company that has undertaken the responsibility
to pay the tuition fees and to pay for other associated costs for your study at AIT, fill in and sign the appropriate box
below. For details of the study costs, please refer to Section B:

IF PERSONAL FUNDS OR SELF SUPPORT, PLEASE TICK THIS BOX

Name of Guarantor:_______________________________________ _______________________________________

(Signature of Guarantor)

Relationship with Applicant:__________________________________ Date: __________________________________

Address: ________________________________________________ Tel: ___________________________________

_________________________________________________ Fax: __________________________________

_________________________________________________ Email: _________________________________

Remarks (if any): _____________________________________________________________________________________

Note: Please provide evidence of availability of funds for your study at AIT ( a copy of bank deposit, land deed or your/yours parents/spouse’s salary
Certificate

IF ORGANIZATION / INSTITUTION OR COMPANY SUPPORT, PLEASE TICK THIS BOX

Name of Organization / Institution / Company: ________________________________________________________________

Year of Establishment / Incorporation: ______________________

Name of Authorized Person: ______________________________________ ______________________________________

(Signature of Authorized Person)

Position: ____________________________________________________________ Date: ____________________________

Address: ________________________________________________ Tel: __________________________________________

________________________________________________ Fax: _________________________________________

________________________________________________ Email: ________________________________________

Remarks (if any): ______________________________________________________________________________

Please tick the cost items to be invoiced & specify the amount:

( ) Tuition Fee ( ) Registration Fee ( ) Allowance

( ) Accommodation __________________________ ( ) Others: specify type/amount________________

NOTE: Please attach evidence of availability of funds for your study at AIT (a letter of certification with the letter head bearing the organization /
institution / company’s seal signed by an authorized person.

LIABILITY

In the event in which fees and study costs are not settled within the deadlines, I will personally be liable for payment.

Name: ______________________________________ ___________________________________

(Signature)

Address: _______________________________________________ Tel: ______________________________________

_______________________________________________ Fax: ______________________________________

__________________________________________ Email: ________________________________

 FINANCIAL ASSURANCE FORM (Master 24 AIT Scholarship + 24 credits Self Support/External) FORM PAGE 2

B. STUDY COST ITEMS FOR MASTER’S PROGRAMS

(Cost items are based on 2 years/4 semesters, normally required for the completion of master’s degree. Tuition fee is 16,000 Baht per credit).

# Items Due Date Amounts payable to

AIT (in Thai Baht)
1st a. Tuition fee of 12 credits Self Support 192 ,000 Baht 212,000 Baht
(Semester) 1st August
b. Registration fee Self Support 20,000 Baht (payable by student)

2nd a. Tuition fee of 12 credits Self Support 192,000 Baht 212,000 Baht
(Semester) 1st January
b. Registration fee Self Support 20,000 Baht (payable by student)

3rd a. Tuition fee of 12 credits AIT Scholarship 192,000 Baht 20,000 Baht
(Semester) 1st August
b. Registration fee Self Support 20,000 Baht (payable by student)

4th a. Tuition fee of 12 credits AIT Scholarship 192,000 Baht 20,000 Baht
(Semester) 1st January
b. Registration fee Self Support 20,000 Baht (payable by student)
Total Payable by Student 464,000 Baht
Please note that apart from the above fees, each student has to settle the one-time Language Support fee of 2,000 Baht, the Student
Union fee of 150 Baht per semester, the medical fee of 2,500 Baht per year (1,250 Baht per semester), and the one-time payment of
100 Baht for a student ID card.

Note: The above costs exclude costs of living and accommodation (nominal range from 11,500 baht/month to 15,000
Baht/month), visa renewal and other miscellaneous expenses including airfare / transportation expenses from home
country to Thailand and back to home country.

Extension
In case the Master’s program is not completed within the normal duration, the registration fee will be charged to the
student for each extended semester until the completion of the degree.

C. METHOD OF PAYMENT
An advance payment of 215,500 Baht tuition and registration fees for the first semester including the Language
Support fee, the student ID card, the medical fee and the Student Union fee shall be paid to AIT prior to enrollment.
The deadline of payment is on the 1st day of the first semester. Proof of payment shall be e-mailed to:
admissions@ait.asia. Late payment made after the deadline for adding/dropping of courses will be subject to an interest
penalty of 1.5% per month.

Payment shall be made by via bank transfer or cash/cheque payable to the ASIAN INSTITUTE OF TECHNOLOGY in fixed
Baht rate or converted US$ rate through AIT’s account (A/C# 468-046301-2, Swift Code: SICOTHBK) at Siam Commercial
Bank PCL., Ltd., Thammasat University Hospital Branch, Bank Address: 95 Moo 8, Klong Nueng, Klong Luang, Pathumthani
12120, Thailand.

With regard to bank remittance/bank transfer, please indicate details that the payment is for the “fees to AIT” to
facilitate identification of the payment purpose so that it can be recorded immediately in the AIT accounting system.
Please note that International transactions of bank transfer take the minimum of three working days.

Please note that enrollment for each semester can only be activated upon full payment of tuition and other fees.

D. DECLARATION OF AUTHENTICITY (to be filled in by applicant)

I hereby declare that the information submitted on this form is authentic. I understand that no claim of inability to pay
the fees assured on this statement shall be entertained by the Institute.

_________________________________ ________________________________
Applicant Full Name Applicant Signature

________________________________
Date
Admissions & Scholarships
December 2020