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Form APPLICATION FORM FOR MASTER’S PROGRAM FOR OFFICER USE ONLY Application ID Photo Note: MPP: Master’s Program in Public Policy MAS: Master’s Program inArea Studies MBA: Master’s Program inBusiness Administration MNT: Master’s Program in Nanotechnology MIE: Master’s Program in Infrastructure Engineering MEE: Master’s Program in Environmental Engineering (4cm x6cm) Photo must be less than months old Date of reception(dd/mm/yyyy) Received by _ Status of application(after screening the application documents) ☐ Accepted ☐ Conditional on completion of supplementary documents ☐ Rejected Admissionsofficer’s signature PHẦN 1: THÔNGMASTER’S TIN CÁ NHÂN (PART 1: PERSONAL INFORMATION) PART 1: APPLIED PROGRAM ☐Area Studies (Vietnamese Studies) ☐Infrastructure Engineering ☐Area Studies (Japanese Studies) ☐Business Administration ☐Nanotechnology ☐Environmental Engineering ☒Public Policy ※Please only choose one master’s program PART 2: PERSONAL INFORMATION 2.1 Full name (in English and capital characters) ……………VU………………………………HOANG…………………………………DUNG…… (Family name/Surname) (Middle name) (First name) ※Please write your name exactly as it appears in your passport ☒Male 2.2.Gender ☐Female 2.3 Place of birth (city, country)Hanoi, Vietnam2.4.Date of birth(dd/mm/yyyy)…14/10/1991…… 2.5 Nationality….Vietnam……………………2.6 Religion……………………………………… 2.7 Citizen card (ID) number…012767586 ……2.8.Date of issue ………30/3/2005……………… (For Vietnamese applicants) 2.9 Passport number …………………………………2.10.Expiry date ……………………………………… 2.11 Date of issue …………………………………2.12.Place of issue………………………………… 2.13 Current occupation………………………………………………………………………………… 2.14 Marital status x Single ☐ Married 2.15 Native language …………………………………………………………………………………… (For International applicants) PART 3: CONTACT INFORMATION 3.1 Contact details Address…P9b-B4, Tap the cong ty Xay Dung so 1, Thanh Xuan Bac, Thanh Xuan, Hanoi………….… Telephone…0435532541… Mobile phone……0972026205……… Email dungvh.neu@gmail.com 3.2 Contact person in case of emergency Full name…VU NGOC THACH ……… Relationship ….……Father……………………………… Residential address ……Hanoi…………… Place of work ……Cong ty Xay Dung so ………… Mobile phone …01668351378…………… Email ……hdgroup.edu@gmail.com…………………… 3.3 Home country contact details(For International applicants) Address…………………………………………………………………………………………………… Telephone ………………………………………………………………………………………………… PART 4: ACADEMIC HISTORY 4.1 Educational records Name and address of school Year and month of entrance and graduation Name of school…………………………………… From Dang Tran Con A Elementary School …………………………………………………… To Location ……Thanh Xuan, Hanoi…………… /1997 …11…….Months /2002 ……………………………………………………… (High School)   Name of school ………………………………… From /2006 Nhan Chinh High School ……………………………………………………… To /2009 Location………Thanh Xuan, Hanoi………………… …………………………………………………… (Tertiary education/ Undergraduate level)   Name of school … ………………………………… From /2009 National Economics University ……………………………………………………… To /2013 Location Hai Ba Trung, Hanoi ……….………… ……………… …………………………………… (Graduate level)   Name of school ……………………………………… From / ……………… …………………………………… ……………………………………………………… To / Location……………………………………………… (described above)bySeptember 1, 2017 Very good …4…… Years ……………………………………………………… (Secondary education/ Middle School)   Name of school …………………………… From Vietnam- Angieri Secondary School /2002 ……………………………………………………… To /2006 Location ……Thanh Xuan, Hanoi……….……… Total number of years in full-time education Duration of attendance    (Primary education/ Elementary School) … ………………………………………………… Diploma or degree awarded, major,skipped Years/Levels (if any) …3…… Years Very good …11…….Months         2…… Years … GPA:8.6 11…… Months Major: Natural science      GPA:8.31 …3……… Years Major: …11…….Months Public Finance    Awards: Very good      GPA: ………… Years Major: ………….Months    Awards: …15… Years …8….Months 4.2 Languages certificates (Please provide international language test results if available) Languages English Japanese Vietnamese Other (…………………) Excellent Good X Fair Poor Type of test and results TOEIC : 760 : : : 4.3 If you have studied Vietnamese in Vietnam, please complete the following required information (For International applicants) Name of institutions attended: ………………………………………………………………………………… Duration:……… ……years ……………months ………………days Types of qualification(s) awarded: ☐ High school ☐ College ☐ Bachelor’s ☐ Masters ☐ Doctorate ☐ Other 4.4 List of publications(if any) ※ Applicant can write on a separate A4 paper Dung, V.H., Hoa, N.T (2013) “Complete solution to manage corporate income tax in Hanoi”, Science research tournament, National Economics University Dung, V.H., (2013) “Solutions to improve stock brokerage service in MB Securities Joint Stock Company”,Graduate Thesis, National Economics University PART 5: EMPLOYMENT RECORD 5.1 Employer Organization …New Ocean Investment TSC……………………………………………… Address ………No 37 – 121 Lane- Thai Ha St- Dong Da Dist- Hanoi – Vietnam…… …………………… Time of employment: From (mm/yyyy) …1/2013…………… To (mm/yyyy) 4/2013… …………………… Job title ……Internship – admission counselor…… ……………………………………………………… Job description ……- Answering students’ question about oversea study…………………………………… ……………… … - Organizing offline events to consult and connect students and school….……………… ………………… ……………………………………………………………………………………………… 5.2 Employer Organization ……Gia Viet Education………………………………………………………………………… Address …………No 5/A11- Tran Quoc Hoan Dist- Hanoi - Vietnam……………………………………… Time of employment: From (mm/yyyy) …8/2013………… To (mm/yyyy) …8/2015……………………… Job title ……Teaching Staff………………………………………………………………………………… Job description ……- Teaching Math to middle School students……………………………………………… ……………… … - Teaching and tutoring Chemistry to high school students……………………………… ………………… - Liaise with and give regular formal and informal effective feedback on progress to parents, students 5.3 Employer Organization ……HD education……………………………………………………………………………… Address …………P9b- B4- Cong ty Xay Dung so 1- Thanh Xuan- Hanoi…….…………………………… Time of employment: From (mm/yyyy) ……9/2015……………… To (mm/yyyy) ……2/2017….………… Job title ……Teaching staff…………………………………………………………………………… Job description …… -Consult students to pass the university entrance exam………… ………………… ……………… ……- Give regular formal and informal effective feedback on progress to parents, students and colleagues ………………………- Organizing offline or online Math and English courses ……………………… PART 6: STATEMENT OF PURPOSE Write a 500-1,000word essay in English on why you wish to study at VJU and your future plans (If applicant writesstatement of purpose on a separate A4 paper, please put a diagonal line through this part ) ※An applicant who applies master’s program in Infrastructure Engineering must indicate clearly which field of interestby choosing on Structure Engineering, Geo-technical Engineering, Advanced Material Engineering, Urban and Transportation Planning, and Having set my long-term career in learning and teaching, I am motivated to work as an active young teac and education After three years of working in practice and pursuing professional interest in education field, I h relating to the education policy, economies and leadership Now it is the appropriate time for me to pursue a M and the prosperity of my country in general Looking for many different programmes, I chose The Master of Public Policy for its unique, interdisciplina and Japan Firstly, considering that the focus of the programme is on economy and society, taking this course will help equipped with numerous approaches and applications and given opportunities to observe, practise and analyse resources to take home and contribute for my own organization’s growth Therefore, I consider this Master prog Secondly, the Master program would give me the possibility to study with lecturers from Japan and excelle with other perspectives and cultural practices As communication and culture strike me as one of the most excit views with peers from around the world Besides, being familiar with studying and working in multicultural intern differences, to learn from others and easily get connected in a network Thirdly, having a passion for understanding different cultures of the world, I hope that, through this m where beholds the vibrant cultural and historical significance Thus, I will try my best to have the chance to parti On completion of my study, I am going to continue my career in education and training, open more online in the field The knowledge and skills that I gain from the course are essential for me in order to provide m education programs for children In today's constantly changing world, our children and youth need to learn inquiry-based, problem-solving students yearn to learn Therefore, as a future teacher, I need to motivate them with learning, exploring, investig I understand that there is a long road ahead before achieving my goals, and a postgraduate degree from a p course in VJU will greatly enhance my contributions to my organisation in particular and my country in general PART 7: OTHERS INFORMATION (For International applicants) 7.1 Your family members living in Vietnam (if any) Full name Relationship Address 7.2 Source of funding for your study in Vietnam ☐ Vietnamese Government scholarship ☐ Other scholarship (……………………………………………………………… ) ☐ Self-funding PART 8: APPLICANT’S DECLARATION I certify that all the information on this Application Form is true and correct to the best of my knowledge I acknowledge that VJU has the right to refuse my admission or cancel a student’s scholarship in the case of misrepresenta I hereby undertake to strictly comply by the laws and regulations of the Vietnamese Government and the regulations of edu Applicant’s signature …………Vu Hoang Dung……………… Date,……25/2/2017………………………

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