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ENROLLMENT CONFIRMATION FORM 2019 Admitted students must formally either accept or decline our SIMs offer of admission by completing and returning the enrollment confirmation form. Accepting our offer of admission allows us to secure your place in our 2019 freshman class. If you choose to decline our offer of admission, you are withdrawn and your place will be released to another applicants. Student name ______________________________ Family name_____________________________ E-mail address _____________________________ Mobile phone ____________________________ CHECK ONE YES, I accept my offer of admission to the SIM for Biomedical Science Bioresources and Environmental Biology Materials Science and Nano Enginnering Bioinnovation Thank you, but I am declining your offer of admission. Student signature _______ Date ____________________________________ SUBMIT FORM VIA E-MAIL To ensure entry in the term of your choice, please return the enrollment confirmation form as follows: 1 st round of direct admission 2019: 24-28 April 2019 2 nd round of direct admission 2019: 17-19 May 2019 3 rd round of direct admission: 7-9 June 2019 to [email protected] International Education and Administration Unit Division of Salaya campus Faculty of Science (Salaya campus), Mahidol University Phuttamonthon 4 Road, T. Salaya, Nakhonpathom 73170, Thailand E-mail: scsim@mahidol.ac.th Phone: +66 2 441 9820 ext. 1199 | www.sc.mahidol.ac.th/sim

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ENROLLMENT CONFIRMATION FORM 2019

Admitted students must formally either accept or decline our SIM’s offer of admission by completing

and returning the enrollment confirmation form.

Accepting our offer of admission allows us to secure your place in our 2019 freshman class. If you choose

to decline our offer of admission, you are withdrawn and your place will be released to another applicants.

Student name ______________________________ Family name_____________________________

E-mail address _____________________________ Mobile phone ____________________________

CHECK ONE

YES, I accept my offer of admission to the SIM for

Biomedical Science

Bioresources and Environmental Biology

Materials Science and Nano Enginnering

Bioinnovation

Thank you, but I am declining your offer of admission.

Student signature _______

Date ____________________________________

SUBMIT FORM VIA E-MAIL

To ensure entry in the term of your choice, please return the enrollment confirmation form

as follows:

1st round of direct admission 2019: 24-28 April 2019

2nd round of direct admission 2019: 17-19 May 2019

3rd round of direct admission: 7-9 June 2019

to [email protected]

International Education and Administration Unit

Division of Salaya campus

Faculty of Science (Salaya campus), Mahidol University

Phuttamonthon 4 Road, T. Salaya, Nakhonpathom 73170, Thailand

E-mail: [email protected]

Phone: +66 2 441 9820 ext. 1199 | www.sc.mahidol.ac.th/sim

SCsalaya
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*4th round of direct admission: 15-16 June 2019
SCsalaya
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SCsalaya
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SCsalaya
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5th round of direct admission: 24 June 2019
SCsalaya
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