Application Form Application Number For Official Use Only

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1 Application Form Application Number For Official Use Only Application for Foreign Students NATIONAL TAIWAN UNIVERSITY Academic Year 2005~2006 To the applicant : Read carefully, complete, and duplicate. Please type or print clearly. Non-degree applicants are not eligible for a resident visa. If discrepancy exists between the English texts and the Chinese texts, the Chinese texts apply. ***************************************************************************************************************************************************** Full name (In Chinese) (In English) (First) (Middle) (Last) Home Address Zip Code Mailing Address Zip Code Complete only if different from home address Cell Phone Number Phone Number Fax Number Country of Birth Date of Birth M D Y Sex Male Female Nationality Student Identification No. Name and address of your contact person. If the applicant is under 20, please fill in the legal guardian s information. Name Relationship Address Education Background degree Attach recent photograph here (about 1 x 2) Secondary School College or University Graduate School(MA Program) Graduate School(Ph.D Program) Name of School Period From To From To From To From To City and Country Degree Conferred Graduate Year Major 1

2 What department or graduate institute do you expect to study at NTU? Department or Institute Division What degree do you plan to pursue? Bachelor Master Doctor Which status do you plan to apply? registered student in a degree program Non-degree student 1. (Applicants may tick both of the boxes only when they are not accepted as registered students in a degree program but are still willing to be admitted as non-degree" students.) 2. Those applying to for non-degree study should be already residing in Taiwan and be holding an ROC alien resident certificate. The valid period for the certificate should be through June 30, How will you finance your study at NTU? Personal savings Scholarship Parental support Other (Specify) If you have health problems or disability conditions, please specify. Is Chinese your native language Yes No Have you ever studied Chinese YesFor how long No Where and under whose instruction were you studying Chinese How do you evaluate your Chinese language proficiency? Listening Excellent Good Fair Poor Speaking Excellent Good Fair Poor Reading Excellent Good Fair Poor Writing Excellent Good Fair Poor Have you taken any test of Chinese language Yes No The name of the test Score I certify that I have completed this application form by myself, and that all the information I have given is correct. Applicant s Signature Date 2

3 Application Form Application Number For Official Use Only Application for Foreign Students NATIONAL TAIWAN UNIVERSITY Academic Year 2005~2006 To the applicant : Read carefully, complete, and duplicate. Please type or print clearly. Non-degree applicants are not eligible for a resident visa. If discrepancy exists between the English texts and the Chinese texts, the Chinese texts apply. ***************************************************************************************************************************************************** Full name (In Chinese) (In English) (First) (Middle) (Last) Home Address Zip Code Mailing Address Zip Code Complete only if different from home address Cell Phone Number Phone Number Fax Number Country of Birth Date of Birth M D Y Sex Male Female Nationality Student Identification No. Name and address of your contact person. If the applicant is under 20, please fill in the legal guardian s information. Name Relationship Address Education Background degree Attach recent photograph here (about 1 x 2) Secondary School College or University Graduate School(MA Program) Graduate School(Ph.D Program) Name of School Period From To From To From To From To City and Country Degree Conferred Graduate Year Major 3

4 What department or graduate institute do you expect to study at NTU? Department or Institute Division What degree do you plan to pursue? Bachelor Master Doctor Which status do you plan to apply? registered student in a degree program Non-degree student 1. (Applicants may tick both of the boxes only when they are not accepted as registered students in a degree program but are still willing to be admitted as non-degree" students.) 2. Those applying to for non-degree study should be already residing in Taiwan and be holding an ROC alien resident certificate. The valid period for the certificate should be through June 30, How will you finance your study at NTU? Personal savings Scholarship Parental support Other (Specify) If you have health problems or disability conditions, please specify. Is Chinese your native language Yes No Have you ever studied Chinese YesFor how long No Where and under whose instruction were you studying Chinese How do you evaluate your Chinese language proficiency? Listening Excellent Good Fair Poor Speaking Excellent Good Fair Poor Reading Excellent Good Fair Poor Writing Excellent Good Fair Poor Have you taken any test of Chinese language Yes No The name of the test Score I certify that I have completed this application form by myself, and that all the information I have given is correct. Applicant s Signature Date 4

5 Applicant Department or Institute Division Degree to pursue Bachelor Master Doctor I, the undersigned, declare that Declaration 1. I do not have the overseas Chinese status nor hold the Republic of China nationality. 2. If I formerly held Republic of China nationality, I declare that I have officially given up my R.O.C. nationality for at least eight years, up until the beginning date of the first term in which I seek admission on National Taiwan University calendar. I also understand that a false declaration would result in the immediate cancellation of my admission or the deprivation of my status as a National Taiwan University registered student. I did not apply for admission as the overseas Chinese status at any university in the Republic of China. 4. The diploma(s) I present are valid and legally awarded in the country where I graduated and are equivalent to the degree conferred by accredited schools and universities in the Republic of China. 5. I understand that foreign students who have already completed a degree program or have been expelled from a university in Republic of China are not eligible to re-apply for foreign student admission. Violation of this rule would result in immediate cancellation of my admission or the deprivation of my status as National Taiwan University registered students. 6. I authorize National Taiwan University to verify the above statements. If there is any false declaration, I will accept the consequences as stipulated by the ninth article of National Taiwan University regulations governing academic affairs. NoteThe ninth article of National Taiwan University regulations states that If any freshmen or transfer students are found using other people s documents, falsification of documents or fabrication of documents, they will be deprived of their recognized status as National Taiwan University registered students and will not be given any certificates, and the university will notify their parents or legal guardian. If it is discovered after their graduation, their diplomas will be revoked and their qualification of graduation will be deprived through official announcement. Applicant srecognizer ssignature Date M D Y 5

6 AUTHORIZATION I authorize National Taiwan University to undertake a verification of the information I have provided and I authorize all corporations, companies, educational institutions, persons and former employers to release information they may have about me, and release them from any liability for doing so. SignatureFull Name Print Full Name Social Security Number High SchoolUniversityStudent ID Number Date of Birth Date 6

7 Records for Document Submission Please tick the items that you have submitted Application NumberFor Official Use Only Cell Phone Number Applicant s Chinese Name Phone Number Applicant s English Name Fax Number Department or Institute Division GraduatedYes No If no, Date ofexpectedgraduation Tick Items of Documents copies Explanation 1Application Form 2Declaration 3 Records for Document Submission 4 Photocopy of the Original Official Diploma Graduating students should submit diploma when they register if admitted. 5English or Chinese Translation If your diplomaor transcriptsis in Chinese or English, you are not required to of the Diploma submit the translation version. You can submit an English certification of degree conferral instead of an English translation of the diploma. 6Original Transcripts and English or Chinese Translation of the Applicants for undergraduate studies submit high school diplomaapplicants for Transcripts graduate studies in Master s programs submit Bachelor s degree diplomaapplicants for graduate studies in Ph.D. program submit Master s degree diploma. 7Study Plan 1 8Letter of Recommendation 2 One of which should be from someone who can appraise the applicant s Chinese or English language proficiency. 9Authorization 1 10Health Certificate in Chinese or English 1 A copy of Health Certificate issued by a hospital within the past 6 months (including HIV virus blood serum immunity test report). The certificate includes items of general physical examination plus HIV virus blood serum immunity test report. 11Application Fee 1 Application feent$1500/us$60. 12Financial Statement 1 The financial Statement is for reference purposes only. Detail for tuition and expenses is spelled out in NTU Regulations Governing Foreign Student Admission. 13Certificate of the Loss of the Nationality of the Republic of 1 China. 14 Photocopy of ROC Alien 1 Resident Certificate A foreign national with a former ROC nationality must attach the certificate of the loss of the nationality of the Republic of China. Those applying to become non-degree students must attach a photocopy of ROC alien resident certificate. The valid period should be through June 30, Please write your mailing address clearly in the blank space below so that we can mail the information to you To Name Address 7

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