THE THAI-UK ALUMNI AND PROFESSIONAL NETWORK

The Thai-UK Alumni an d Professional Network is compiling a Directory of Thai students and alumni who undertake training in UK and Professionals who work closely as partners with UK (and UK citizens who have done the same in Thailand). Please complete this application form and return it to the British Council Bangkok at the address shown on below.

Please complete this form in English unless indicated.

ID No.______

(Office Use Only)

(Please affix your picture here, if possible)

Name/Surname (in Thai)______

Surname: ______First Name: ______

Title (Mr, Mrs, Ms, Dr, etc)______ Date of Birth (DD/MM/YY): ____/____/____

Status: [ ] Single [ ] Married

CONTACT DETAILS

Contact Address (ENGLISH)

______

______

______

______

Tel: ______Fax: ______Mobile: ______E-mail:______

EMPLOYMENT DETAILS

Current Employer: ______

Department: ______

Job Title: ______

Profession: ______

DETAILS OF EDUCATION IN UK, if any.

Academic year / Place of Study / UK Qualification / Field of Study / Type of Funding

DETAILS OF PROFESSIONAL LINKS WITH UK/THAILAND

For UK citizen, please indicate your professional links with Thailand.

Have you ever had any professional links with UK / Thailand?

[ ] Yes[ ] No

If yes, please specify.

Year / Name of Link / UK/Thai Partners
(Institute and individual) / Brief Description of Activity

What kinds of links are you interested in establishing with UK/Thailand in the future?

______

[ ] I give my consent to include this information in the Thai-UK Alumni and Professional

Network Directory and on-line password protected database.

[ ] I give my consent to include this information (page 1 and 2) in the Thai-UK Alumni and Professional Network private in-house

database in the British Council but NOT for use in the Thai-UK Alumni and Professional Network Directory and on-

line Database.

NO ADMISSION FEE IS REQUIRED.

Please return this form by mail or fax to Jansang (Traitongyoo) Boonnua, Thai-UK Network Development Officer

The Thai-UK Alumni and Professional Network

The British Council, 254 Chulalongkorn Soi 64, Siam Square,

Phyathai road, Pathumwan, Bangkok 10330, Thailand

Tel. 026525480-9 Ext 117 or 308

Fax 022535312

E-mail:

Thank you very much for joining us. We look forward to welcoming you to the network!!!

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