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重要日程表

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					(Attachment 1)                                                                                                 Attach recent 2-inch
                                              NATIONAL ILAN UNIVERSITY
                                                                                                                photograph here for
                                      APPLICATION FORM FOR ADMISSION                                              student ID card
                                                                                                              (must be taken within
                                                                                                                the last 6 month)
TO THE APPLICANT:Complete two copies of this form clearly in CHINESE or ENGLISH.

Personal Information

                   in Chinese character(if any)
   Full Name
                   in English                           (Surname),                              (First)                       (Middle)

Home    Address                                                                        Telephone No.

   Address in                                                                             E-mail
    Taiwan

 Place of Birth                                    Date of Birth                                          Passport No.

                                                   □ Male                                                   No. of
   Nationality                        Sex          □ Female           Marital Status                       Children
                                                 Name and address of legal guardian

  Father’s Name                  (Surname),                 (First)         (Middle)    Nationality

 Place of Birth                                     Occupation                         Telephone No. (        )

 Mother’s Name                   (Surname),                 (First)         (Middle)    Nationality

 Place of Birth                                     Occupation                         Telephone No. (        )
                     Chinese
                   name if any                     English Name                        Telephone No. (        )
 Contact Person
   in Taiwan         Mailing                                                              E-mail
                     Address

Educational Information
                                                                                                                             Date of
                                               City /                                      Duration of Degree/Diplo
  Degree          Name of Institute                           Major            Minor                                         Degree
                                              Country                                        study     ma Certificate
                                                                                                                             Granted
 Secondary
  School

University /
 College


 Graduate
 Institute


Publications                                                                    Date

   Other
  Training

  Previous
Employments
Which department/graduate institute and degree do you wish to apply?
  Department /
Graduate Institute
     Degree          □Bachelor            □Master


Do you use English as a primary mode of communication?                  □Yes   □ No

Chinese Language Proficiency
 How long have you studied Chinese?

 Where did you learn Chinese?
  (high school, college, language institute , etc.)

 Have you taken any proficiency test in                                                    Type of Test
 Chinese?                               □Yes                     □No
                                                                                              Score
                                                      Chinese ability self-evaluation

    Listening             □Excellent                   □Good                            □Average           □Poor
    Speaking              □Excellent                   □Good                            □Average           □Poor
    Reading               □Excellent                   □Good                            □Average           □Poor
    Writing               □Excellent                   □Good                            □Average           □Poor

Financial Support (Please mark your plans for financing your education at NIU):
□ Personal Savings                                                      □ Parents’ Support

□ Scholarship                                                           □ Others(Please Specify)

Health Condition

Are you physically sound and well?       □Yes □No

 If not, describe any defect or health problem you have:


Accommodation
 Do you wish to apply for accommodation?                 □Yes      □No


Scholarship
 Taiwan Scholarship:
 □ Yes, I have applied for the Taiwan Scholarship.           □    No.
 NIU Scholarship for Foreign Graduate Students :
 *The applicants shall not have received any scholarship from related agencies of the ROC government.
 Please mark applicable items :
 □ Yes, I would like to apply for graduate assistantship – (1) fully-supported / NT$8000 per month.
 □ Yes, I would like to apply for graduate assistantship – (2) partially-supported / NT$4000 per month.
 □ No, I do not need to apply at this time.




※I have carefully reviewed the above information and hereby certify that all of it is true and correct.


 Applicant’s signature ________________________________                             Date of application________________________

				
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