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11. Credit Transfer Form of
3
Thai-ASEAN Student Exchange Program
1. STUDENT'S PERSONAL DATA
(To be completed by the student. The information provided in this form will be treated in-confidence by the home
and host institutions. Data from the form may be used for statistical purposes, but only in an aggregated and
non-identifiable manner.)
Last name: _ _ _ _ _ _ _ _ _ _ _ _ _ First name: _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Home institution: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Country: _ _ _ _ _ _ __
Date of birth: Sex:
----------------
Student Identification Number:
--------------------------
2. DETAILS OF THE PROPOSED THAI-ASEAN STUDENT EXCHANGE PROGRAM
(To be completed and signed by student and counter-signed by the academic staff members of both institutions.)
Host institution: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Country: _ _ _ _ _ _ _ _ _ _ __
Host Institution Home Institution
(If necessary, continue the list on a separate sheet, including any changes to be approved program, which must be
signed and counter-signed)
Student's signature: _ _ _ _ _ _ _ _ _ _ _ _ _ __
We confirm that the proposed program of study is approved.
(Home institution staff member) (Host institution staff member)
INSTITUTION STAMP INSTITUTION STAMP
Date: _______________________ Dffie: _ _ _ _ _ _ _ _ _ _ _ _ _ __

12. -2­
3. TRANSCRIPT OF THAI*ASEAN STUDENT EXCHANGE PROGRAM RESULTS
4. CERTIFICATION OF THAI-ASEAN STUDENT EXCHANGE PROGRAM RESULTS
Host institution
Signed: _ _ _ _ _ _ _ _ _ _ _ __
(Signature of registrar/dean/administration officer)
Date: _ _ _ _ _ _ _ _ _ _ _ _ _ __
INSTITUTION STAMP
NOTE: This document is not valid without the signatures of the registrars/deans/ administration officers and stamps
of the host and home institutions.