Forms and Requests
Student and Alumni Affairs
Teaching and Learning Forms
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Scholarship Forms
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Other Forms
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*Please submit documents via email to the Student Affairs and Alumni Office at: medafpsu@gmail.com
The coordinator will process requests via email during official working days and hours only.
The coordinator will process requests via email during official working days and hours only.
Registration and Educational Assessment
- Specific Elective Course Approval Request Form
- Specific Elective Course Evaluation Form for Medical Students
- Specific Elective Course Self-Assessment Form
- Specific Elective Course Report Form (Selective)
- Specific Elective Course Form (Selective) for 4th-Year Students
- General Request Form, Registration and Educational Assessment Unit, Faculty of Medicine
- Declaration Form to Decline Shuttle Service from the Faculty of Medicine for Medical Clerkship Students (6th-Year Students)
- Request Form for Grade Review and Appeal of Examination Results / Student Assessment Educational Measurement and Evaluation Unit, Faculty of Medicine
- Request Form for Grade Review and Appeal of Examination Results / Student Assessment In cases where students do not accept the initial grade review and appeal result
- COVID-19 Infection Risk Assessment Form for Examination Management
Teaching and Learning Forms
Forms can be submitted through 2 channels:
- Student Affairs and Alumni Office, Faculty of Medicine
- Submit the file via email: medafpsu@gmail.com
- Download the form (.pdf file).
- Fill in all details completely, clearly, and accurately, and attach relevant documents, such as a medical certificate in case of sick leave.
- Contact the course chairperson to review and sign the leave request form for approval.
- Submit the approved leave request form, signed by the course chairperson, to the Student Affairs and Alumni Office through 2 channels:
Student Affairs and Alumni Office, Faculty of MedicineEmail: medafpsu@gmail.com
- Submit the form at least 1 month in advance.
- Submit the form to the Student Affairs and Alumni Office, 7th Floor, or via email: medafpsu@gmail.com
- This form is for students who are unable to pay tuition fees by the university’s deadline, including students applying for student loans and students awaiting scholarship consideration.
- The process should be completed at least 7 days before the registration deadline.
Scholarship Forms
- ศึกษารายละเอียด คุณสมบัติ/ข้อปฏิบัติ ผู้ขอรับทุนการศึกษา ในแบบฟอร์ม
- กรอกข้อมูลให้ถูกต้องและครบถ้วน
- ส่งใบสมัครและเอกสารแนบ ที่อีเมล: sangdao.tin@hotmail.com
This form is for undergraduate students of the Faculty of Medicine, Prince of Songkla University, Academic Year 2025, who received a scholarship in Academic Year 2024.
This form is an attachment for transferring funds to a Siam Commercial Bank account, Prince of Songkla University Branch. The account name must be the student’s name.
Other Forms
Forms can be submitted through 2 channels:
- Student Affairs and Alumni Office, Faculty of Medicine
- Submit the file via email: medafpsu@gmail.com
*Please submit documents via email to the Student Affairs and Alumni Office at: medafpsu@gmail.com
The coordinator will process requests via email during official working days and hours only.
The coordinator will process requests via email during official working days and hours only.
- Specific Elective Course Approval Request Form
- Specific Elective Course Evaluation Form for Medical Students
- Specific Elective Course Self-Assessment Form
- Specific Elective Course Report Form (Selective)
- Specific Elective Course Form (Selective) for 4th-Year Students
- General Request Form, Registration and Educational Assessment Unit, Faculty of Medicine
- Declaration Form to Decline Shuttle Service from the Faculty of Medicine for Medical Clerkship Students (6th-Year Students)
- Request Form for Grade Review and Appeal of Examination Results / Student Assessment Educational Measurement and Evaluation Unit, Faculty of Medicine
- Request Form for Grade Review and Appeal of Examination Results / Student Assessment In cases where students do not accept the initial grade review and appeal result
- COVID-19 Infection Risk Assessment Form for Examination Management
Download the required forms
- Request and Memo Form
- Simulation Lesson Plan Template
- Complete all required information accurately as specified.
- Submit all completed forms through the online system on the website. https://school.medicine.psu.ac.th/sim_service
Teaching and Learning Forms
Forms can be submitted through 2 channels:
- Student Affairs and Alumni Office, Faculty of Medicine
- Submit the file via email: medafpsu@gmail.com
- Download the form (.pdf file).
- Fill in all details completely, clearly, and accurately, and attach relevant documents, such as a medical certificate in case of sick leave.
- Contact the course chairperson to review and sign the leave request form for approval.
- Submit the approved leave request form, signed by the course chairperson, to the Student Affairs and Alumni Office through 2 channels:
Student Affairs and Alumni Office, Faculty of MedicineEmail: medafpsu@gmail.com
- Submit the form at least 1 month in advance.
- Submit the form to the Student Affairs and Alumni Office, 7th Floor, or via email: medafpsu@gmail.com
- This form is for students who are unable to pay tuition fees by the university’s deadline, including students applying for student loans and students awaiting scholarship consideration.
- The process should be completed at least 7 days before the registration deadline.
Scholarship Forms
- ศึกษารายละเอียด คุณสมบัติ/ข้อปฏิบัติ ผู้ขอรับทุนการศึกษา ในแบบฟอร์ม
- กรอกข้อมูลให้ถูกต้องและครบถ้วน
- ส่งใบสมัครและเอกสารแนบ ที่อีเมล: sangdao.tin@hotmail.com
This form is for undergraduate students of the Faculty of Medicine, Prince of Songkla University, Academic Year 2025, who received a scholarship in Academic Year 2024.
This form is an attachment for transferring funds to a Siam Commercial Bank account, Prince of Songkla University Branch. The account name must be the student’s name.
Other Forms
Forms can be submitted through 2 channels:
- Student Affairs and Alumni Office, Faculty of Medicine
- Submit the file via email: medafpsu@gmail.com
*Please submit documents via email to the Student Affairs and Alumni Office at: medafpsu@gmail.com
The coordinator will process requests via email during official working days and hours only.
The coordinator will process requests via email during official working days and hours only.
- Specific Elective Course Approval Request Form
- Specific Elective Course Evaluation Form for Medical Students
- Specific Elective Course Self-Assessment Form
- Specific Elective Course Report Form (Selective)
- Specific Elective Course Form (Selective) for 4th-Year Students
- General Request Form, Registration and Educational Assessment Unit, Faculty of Medicine
- Declaration Form to Decline Shuttle Service from the Faculty of Medicine for Medical Clerkship Students (6th-Year Students)
- Request Form for Grade Review and Appeal of Examination Results / Student Assessment Educational Measurement and Evaluation Unit, Faculty of Medicine
- Request Form for Grade Review and Appeal of Examination Results / Student Assessment In cases where students do not accept the initial grade review and appeal result
- COVID-19 Infection Risk Assessment Form for Examination Management