Professional Documents
Culture Documents
TO THE APPLICANT
This application form should be completed with two copies.
Please complete this form in Chinese or English and print in LOC! LETTE"#.
I. Personal Information
Applicant$s
Name
%Chinese& %English&
'ate of irth
(dd/mm/yy)
(ender
)ale *emale
Nationalit+
irth Place
!"#$
Passport No.
% &
Home Address
'(&
)ailing
Address
)*+,E,
mail
) -
Telephone
% &
./)-
Cell phone
0123
)arital status
40)arried 50#ingle
67Other
*
No. of
Children
9:;
Applicant$s
*ather
Chinese
Name
English
Name
'ate of irth
(dd/mm/yy
)
Nationalit+
9<;
Applicant$s
)other
Chinese
Name
English
Name
'ate of irth
(dd/mm/yy
)
Nationalit+
=>?@
Contact Person
in Taiwan
Chinese
Name
English
Name
) -
Telephone
)*+,
E,mail
-
Application Form 1/
!"#$%
Attach a recent
photograph here
&about
-./0.'
=>?@
%&
Address of
Contact Person
in Taiwan
0
. ()*+!ducational "ac#ground
,
$egree
-.
Secondary school
/
%ollege or University
012
&raduate school
'(aster Program)
ABC
Name of school
ABD=
Address
AE
'egree granted
FG
)onth1+ear of
(raduate
HI
)a2or
JI
)inor
3. 456789:;
Please specify department 'graduate school) and degree of application at NT%UST.
K D
'epartment
%(raduate #chool&
AE
'egree
AL%MN& achelor %four +ears&
AL%ON& achelor %two +ears&
PL)aster
.<=.>?@ABC
*our ma+or source of financial support during your study at NT%UST
QRSPersonal #a3ings TUAmount
:<VW Parental support TUAmount
>X YZ D Taiwan *ellowship
YZ D #cholarship [\#ource TUAmount
67[\Other #ource
. DE Scholarship
]^_B`A AZa D Are +ou appl+ing for NTC4#T$s International #tudent #cholarship5
]6es ^No
7
Application Form ,/
.FG$ormitory
]^bc_BAdeaAre +ou appl+ing for dormitor+5
]fghc%deg ijkdelm H
6es. I would li8e to li3e in the dormitor+ and will compl+ with all regulations.
nghnbcde
No. I am not appl+ing for a dormitor+.
. IJK-anguages A.ility
English Language
]^opqrr L
stuv5
Ha3e +ou ta8en an+
English proficienc+ test5
]6es
^ No
wxuv
If +es9 list the
proficienc+ tests
yz
#core
{h|MPlease e3aluate +our English language s8ills.
}Listening ~E/cellent (ood N A3erage Poor
#pea8ing ~E/cellent (ood N A3erage Poor
"eading ~E/cellent (ood N A3erage Poor
:riting ~E/cellent (ood N A3erage Poor
Chinese Language
A5
How man+ +ears ha3e +ou formall+ studied Chinese5
A%Ar&a
:here did +ou stud+ Chinese %elementar+ school9
high school9 college9 language institute&5
]^opqrs L
tuv5
Ha3e +ou ta8en an+
Chinese proficienc+ test5
]6es
^ No
wxuv
If +es9 list the
proficienc+ tests
yz
#core
{h|MPlease e3aluate +our Chinese language s8ills.
}Listening ~E/cellent (ood N A3erage Poor
#pea8ing ~E/cellent (ood N A3erage Poor
"eading ~E/cellent (ood N A3erage Poor
:riting ~E/cellent (ood N A3erage Poor
;
Application Form //
. OP0thers
9 Q Please specif+ if +ou ha3e an+ ph+sical illness or disabilit+.
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g C Q
If +ou ha3e an+ publication= please list b+ published +ear9 title of publication9 publisher9 and location.
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:or8 e/perience.
)onth16ear
*ull1Part Time
Name of Organi>ation
C
Position Held
E
?
Application Form /