Professional Documents
Culture Documents
APPLICATION FORM
2016-2017
Deadline for Admissions application is February 14, 2016. Short-listed applicants will be invited to sit for an AUW-administered
entrance exam and personal interview.
For the Office of Admissions Use Only
YES
Form complete?
NO
NO
th
10 Grade Result
th
th
11 Grade Result
12 Grade Result
YES
NO
Exam Center:
Shortlisted Category:
Personal Details
Full Name
(As in the Passport or
Academic Transcript):
________________________________________________________________________________
First Name
Middle Name
Last Name
_____
_____
Age
dd
_____
_____
mm
yyyy
Religion
Languages
Ethnicity
Marital Status
Blood Group
Country of Birth
Country of Citizenship
Applicants Cell
Phone Number
State/Province
Postal Code
Country
Applicants Permanent
Address
City
State/Province
Postal Code
Country
Family Information
Father
Mother
Full name
Living? (Yes or No)
Parents Age
Education level
Occupation
Home Phone Number
Cell Phone Number
Email Address
Sibling Name(s)
Age
Gender
Occupation
Email Address
How did you learn about the Asian University for Women
Please check all that apply
AUW Students
Country Coordinator
NGO Announcement
Parents/Family member
Flyer
Brochure
Website
Newspaper
Poster
Radio
Television
School Official
Social Media
School Presentation
Others
Academic Performance
th
Year of Exam
Final Result
Marks in %
Grade
Medium of Instruction
English
Mathematics
Other subjects, specify
i.
ii.
iii.
th
th
month
year
day
month
year
day
month
year
Name of Institution
Final Result
Marks in %
Grade
Medium of Instruction
English
Mathematics
Other subjects, specify
i.
ii.
iii.
th
Year of Exam:
Final Result
Marks in %
Grade
Medium of Instruction
English
Mathematics
Other subjects, specify
i.
ii.
iii.
Are you currently a student of any other university?
Please mark the box with a cross
Name of the University (if yes):
Yes
No
Year
Description
Achievements
Sports & Culture
Briefly list significant extracurricular and community activities that you have participated in secondary or higher secondary school
(e.g.: sports, dance, music, arts, class monitor, clubs, food relief, local fair, community service, etc.). Please indicate special
distinctions or awards obtained
Activity
Year/Length of Involvement
Awards if any
General
Indicate any leadership positions held:
Position
Field of activity
Majors
What is your intended major(s) or area(s) of interest? Please mark the box with a cross
Economics
Environmental Sciences
11 Grade Results (applicable for 11th Grade/ 12th grade Test / AS or Equivalent
Examinees. Photocopy and attested)
th
Attached
Attached
Attached
Attached
X
Applicants Signature
Date
X
Mothers Signature
Date
X
Fathers/Guardians signature
4