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1 -~LI\.l0 ILK) -~p 1t ~ :lhij~j-:sc_{g.lf ~ Taipei Economic and Cultural Center in India 34, Paschimi Marg, Vasant Vihar, New Delhi PH: FAX: ind@mofa.gov.tw QJ No: IND New Delhi, 27 January 2015 Taipei Economic and Cultural Center in India (TECC) presents its compliments to the Department of Higher Education, Ministry of Human Resource Development, Government of India, and has the honor to inform the latter that the Guidelines of Taiwan Scholarship and Huavu Enrichment Scholarship (HES2 ( for Indian students. have been announced, please kindly refer the related information to the related universities in India. The educational linkages between India and,taiwan have been strengthened over the last few years. As of December 2014, a total of 638 students from India have studied in Taiwan. Of those 496 are pursuing their degree studies, 81 are learning Mandarin Chinese. Additionally, 85 bilateral academic agreements have been signed by 38 institutions of higher education in Taiwan and 53 with their counterparts in India. {~>) The Taipei Economic and Cultural Center in India avails itself of this opportunity to renew to the Ministry of Human Resource Development, Government of India the assurance of its highest consideration. s V ~~Department of Secondary and Higher Education, '\.!..\\~Ministry of Human Resource Department '11\ '? Shastri Bhavan Dr Rajendra Prasad Rd New Delhi, , c. c. East Asia Division Ministry of External Affairs Government of India South Block New Delhi ~ I

2 ~) Ministry of Education Huayu Enrichment Scholarship I. Purpose To encourage international students and individuals to undertake Mandarin study in Taiwan, the Ministry of Education of the Republic of China (Taiwan) establishes a "Ministry of Education Huayu Enrichment Scholarship" program, which provides study opportunities for Mandarin language at university or college affiliated Mandarin training centers in Taiwan. II. Value A stipend ofnt$25,000 (approximately US$806) is to be offered to a recipient by month Duration Maximum to six months (According to the course terms applicant apply for, and it is determined by TECC.) Annual award periods are from September 1st through August 31st. IV. Eligibility An applicant must meet all of the following criteria: a. Over 18 years old, b. Possess senior high school diploma or above and be of good moral character, c. Does not have the status of an overseas Chinese student, d. Is not a current student in Taiwan, e. Is not an exchange student in Taiwan at the time of receiving a HES scholarship, f. Is not a current recipient of a scholarship or subsidy offered by Taiwan government or institution in Taiwan. V. Application Applicants must send their completed documents to Taipei Economic and Cultural Center(No. 34, Paschimi Marg, Vasant Vihar, New Delhi ). The application period is from Feb 1 ''through March 31 ''. For more information, please call

3 ~ Education Division Tel:+91-ll or to download application form. The application please send by registered mail. The number of recipients for 3 months scholarship is 4. The number of recipients for 6 months scholarship is I 0. Taipei Economic and Cultural Center reserves the right without giving notice to the applicants to reallocate the scholarship durations for recipients. A complete application includes the following materials: a. A completed application form. b. Photocopy of passport or other nationality certificates. c. Photocopy of the highest-level diploma and a complete grade transcript. d. Supporting admission application material (e.g. photocopy of application form to any Mandarin Center. Please visit for more information and the list of Mandarin Center). VI. Selection Process Paper Review and TECC will choose some of the applicants to join interview. I VII. Remark If recipients fail to arrive in Taiwan to study during this period, their award status will be cancelled and cannot be extended for another year. If recipients begin their studies after the study term/quarter starts, their award period will become effective from the month they arrive in Taiwan to matriculate at their individual Mandarin training centers. Whether beginning in September or later, the award period ends in August. In terms of the actual award period for this Mandarin study program, it will begin from the month that recipients arrive in Taiwan to matriculate at their intended Mandarin training centers. All awards will end the month their specified award period is completed. However, if recipients drop out, are expelled from their institutions, or their scholarships are revoked, whichever comes first, the award will be terminated.

4 ~ (5) lrjj!ii iaxutelfet~lia Application Form for ROC (Taiwan) Ministry of Education Huayu Enrichment Scholarship INSTRUCTIONS: This application form should be typed and completed by the applicant. Each question must be answered clearly and completely. Detailed answers are required in order to make the most appropriate arrangements. If necessary, additional pages of the same size may be attached. $~l!t.a.~~~xifli!t,u.t. tlo/.jilifoii, J<J.~Jl!ic~1'F*, ~O::f;f$~. RJEifii:.J. liij ~*!~~:I.Jo jt IDt a_ij o 1. PERSONAL DATA ii.a. *:1f*4 a NAME~:S Title flllil'l: Mr./Mrs./Ms. Please attach a photograph that has been taken within the Surname( Last name) 91: last 3 months. Given Name(s) :g: Chinese Name.P:lt91:S: Jlil[E.ii.Flf!lit b. CITY and COUNTRY OF BIRTH tll! ljitifi&lii!~jj c. NATIONALITY lilft d. contact INFORMATION li~$hl,fl~,'lltt- II#- *Note: If one or both of your parents were an ROC national at the time of your birth, vou are an ROC national as well and therefore not eligible to apply. Permanent Address 7k ~ J:t!!±.Il:: Mailing Address (If different from above)i!ll'itl:t!!tll:: Telephone 11~i!i: 'it+i!ll!'l': Cell phone: e. SEX ii)ltj 0 Male JJl 0 Female 3I: f. MARITAL STATUS 0 Single.ltl,it 0 Married Bill *f~ltt~ g. DATE OF BIRTH (Day B /Month!'l /Year i:f): ~13 h. PAST RESIDENCE 0Never i!l'; DYes, from (ddlmm/yr) to (ddlmmiyr);~. ~i%bitll; in TAIWAN reason for staying in Taiwan J\lH1$1tt: L '- ----

5 i. Taiwan Scholarship/ Huayu Enrichment Scholarship Award History iti!lt!iu1t1l/!!:x!it!ij1l:'i'l:!ltr.~ i- HEALTH CONDITION iit.liltujt k. ANY CHRONIC DISEASES 'lit1~ 0None ll!\; DYes, from ( ddlmm/yr) to (ddlmm/yr);~. il!!i% SM. Type(s) of Scholarship Awarded: 0 Excellent 0 Good 0 Fair D None ll!\ D Yes li- Please specify ii!~a}j: I. CONTACT PERSON, Namd1:E: Relationship IIIIi*: INCASE OF AN EMERGENCY Address ll!lijl:: ~fuhhii$&.a. Telilti\li: ilt'f!liih'i': 2. LANGUAGE PROFICIENCY s!l[~:t.j LANGUAGE COMPREHENSION II READING ijt WRITING ~ SPEAKING IDt PROFICIENCY Excellent Good Fair Excellent Good Fair Excellent Good Fair Excellent Good Fair i!i~~:t.j 11: & OJ 11: & OJ il & OJ il & OJ CffiNESE I ENGLISH Other (please state) EDUCATIONAL BACKGROUND i~ciif'a':i: Secondary Level :fill Education <P ~ Undergraduate Level Education ;lc!i! Graduate Level Education li)f~i'.it Name of Institution Country/City Period of Enrollment ta lt!jilli ~i/i!::!:fijh

6 (!) 4. REFERENCES Jt:JiJtlUL (A) jlf$1- Name PI!A5 Position l!lil~ Phone, or Mailing Address!l~&!ll'il:it!!:l.ll: 5. PREVIOUS EMPLOYMENT I f'fi!~ (Use one line for each position) Position Company/Organization Period of Employment Responsibilities IIi i!ji$:8fll! nlif MM If'Fjill)l 6. PRESENT EMPLOYMENT :m.jfllti\i5t a COMPANY/ I ORGANIZATION «<fm:gm b. POSITION l!lilflll c. From ~lit:~ S Wl I Address I!!! tit: d. CONTACT INFORMATION Tel iliili: Cell phone: l!lllllfi!litl Fax ll!ft: il'f!!lli'f: e. TYPE OF ORGANIZATION i!ji$flll 0 Govt. Ministry/ 0 University/ 0 Govt./State owned Agency i&lffllllr~ Institution :k!l!t.x:jil\: Enterprise 1} i' :It :111: 0 Locally-owned 0 Joint Venture 0 Foreign-owned 0 NGO Enterprise fi.),jtil( "i5iu. Enterprise /!!l~1} ~ ~~i&lffmt!m

7 0J 7. LANGUAGE CENTER WHERE YOU PLAN TO ATTEND IN TAIWAN IU.tUI.:Z.~!:Jt~'C.' (For information about university-affiliated language centers in Taiwan, please visit the following website for reference: roc-taiwan. org/jn/ip.asp?ctn ode~ I \216&CtUnit~630&B ase DSD~? &mp~277) University-affiliated language center: ol would like to choose 3 months ( study 1 term Huayu program with scholarship) ol would like to choose 6 months ( study 2 terms Huayu program with scholarship) 8. wt BRIEFLY STATE YOUR STUDY PLAN WHILE IN TAIWAN ~fl'il"ilih':eitui 9. DECLARATION: I declare that: 0 The information I have given on this application is complete and accurate to the best of my 'Applicant's Signature Date I I

8 Taiwan Scholarship Program Guidelines For India Students January 26,2015. I. In an effort to encourage outstanding India students to undertake degree studies in Taiwan so as to familiarize themselves with the academic environment in Taiwan and promote communication, understanding and friendship between Taiwan and India, the Ministry of Education (MOE) establishes the following guidelines for the Taiwan Scholarship Program. II. The MOE awards outstanding India students undertaking undergraduate and postgraduate studies in Taiwan by awarding each recipient of the Taiwan scholarship the following: (i) Tuition and payment of academic fees, including credit fee. Upon validation of tuition and above fees, the MOE awards each recipient per semester up to NTD40,000. (Approximate US$1,290.00). If the total amount of these fees should exceed NTD40,000, the remainder of all costs shall be covered by either the recipient, or the recipient's college, whereas over NTD40,000 are the sole responsibility of the recipient. Tuition and academic fees do not include any of the following: administration fees, thesis advising fees, insurance premiums, accommodation, Internet access, all of which are payable by the recipients. (ii) Subsistence allowance: The MOE offers each recipient undertaking undergraduate studies a monthly stipend ofntd15,000.(approximate US$480.00); it offers each recipient undertaking postgraduate studies a monthly stipend ofntd20,000. (Approximate US$640.00) III. Duration of Scholarships: (i) The maximum period of each scholarship is four years for undergraduate programs, two years for master programs, and four years for doctorate programs. The maximum length of the total awards for each recipient undertaking a combination of studies is five years. (ii) Annual award periods begin on September 1" and continue until August 31" of the following year. Recipients must arrive in Taiwan and enroll at their admitting universities/colleges within prescribed period unless delays have been approved by the relevant institutions and the MOE. If recipients fail to arrive in Taiwan for registration during this period, their award will be revoked with no deferrals.

9 & (iii) Subsistence allowances begin from the month of the recipients' registration at the universities/colleges and end when the award period expires or upon the recipients' graduation, withdrawal, suspension, expulsion, or revocation of the scholarship. IV. Eligibility: (i) Applicants must be an Indian national with a senior secondary school diploma or post-secondary degree(s), with an excellent academic record, and be of good moral character. (ii) Applicants are ineligible if they meet the following criteria: 1. Are R.O.C. nationals or overseas Chinese students 2. Are already registered or have obtained student status at any university/college in Taiwan. Graduating students pursuing further studies are exempt from this rule. 3. Have already studied in Taiwan for the same level of degree as the one in which they currently intend to enroll. 4. Are exchange or dual/joint degree students admitted in accordance with academic. cooperation agreements between local universities/colleges and international universities/colleges. 5. Have been a recipient ofthe Taiwan Scholarship for over a total of five years. 6. Have had, in the past, their Taiwan Scholarship or Huayu Enrichment Scholarship from the MOE revoked. 7. Are recipients of any other scholarship or subsidy offered by the Taiwan government or education institutions in Taiwan. This excludes subsidies offered by universities/colleges to cover tuition and other fees exceeding the scholarship limit. (iii) Applicants should apply directly for admission within the deadlines specified by each university/college listed in the "Association of Taiwan Scholarship Program Schools". Applications for admission outside of the universities/colleges participating in the Taiwan Scholarship Program are automatically disqualified and will not be returned. V. Applicants should send the following document within the period specified enclosed with their application to : Education Division, Taipei Economic and Cultural Center in New Delhi, No. 34, Paschimi Marg, Vasant Vihar, New Delhi , Tel:

10 @) Failure to include any of these documents renders the application incomplete, and the applicant will not be further considered for the scholarship, without further notice: (i) Taiwan Scholarship Application Form. (ii) A copy of the applicant's passport or other nationality certificates. (iii) A copy of the highest degree and academic transcripts (statement of marks for the entire subjects. If the percentage is not presented on the transcript, the students have to mention the percentage and ranking on the back side of the transcriptt If issued by international educational institutions, these documents must be authenticated by an overseas Representative Office or be sealed and delivered by the awarding institutions. Documents in a language other than Chinese or English must be translated into Chinese or English and the translated documents must be authenticated. (iv) A copy of admission application materials to universities/colleges in Taiwan (e.g., copies of application fee remittance, application form, receipt of application from universities/colleges, s,). (v) A copy of a language proficiency certificate: 1. For applications to not all-english programs, a copy of results or certificate for the "Test of Chinese as a Foreign Language" (TOCFL) Level 3 or above. 2. For applications to all-english programs, a copy of TOEFL test scores or other recognized English language proficiency exams or degrees awarded in English must be submitted. Applicants to all-english programs shall be recognized by the MOE. If not, the applicant shall directly obtain his/her all-english program document authorized by the applying school (not units on campus) from the applying university/college. (vi) Two letters of reference, signed and sealed in envelopes (i.e. from the principals, professors, or supervisors). Photo copies and submissions of letters of recommendation will not be considered. Note: Application form should be done on typewriter or computer, and only send by certificate mail. application form or send in person will not be accepted. The scholarship guideline, application form, and the list of "Association of Taiwan Scholarship Program Schools" can be downloaded from 3

11 (!) website: VI. Total number of scholarship is Ten (10) for academic year. VII. Application Period: From February 1ST to March 31ST, VIII. Selection Process: Paper review and TECC will choose some of the qualified candidates to join interview. IX. Selection Notice: Candidates and alternate candidates and their awarding universities/colleges are to be notified by May 31, Successful candidates should submit a copy of their letter of admission to Education Division by June 30, 2015.' X. Upon completion of a degree program, recipients may reapply by February 28 1 h of each year for the Taiwan Scholarship to undertake a higher degree program by following the application process as specified above. The maximum duration of each recipient's total award period is five years. XI. The process for continuing scholarship benefits is as follows: (i) Each university/college should review recipients' award qualifications for the second semester of the academic year and evaluate each recipient's academic and conduct performances by February 28 1 h of each year and notify the recipients and the MOE designated office within seven days. In addition, by September I 0 1 h of each year, universities/colleges should submit the renewal lists to the on-line Taiwan Scholarship Information Platform to secure funding. (ii) Recipients shall be granted renewal if they have achieved the following results: I. A minimum total average of70% per semester's coursework for undergraduates and 80% for postgraduates; universities/colleges may set their own higher standards. 2. For recipients in the 3'd year of their doctoral programs, this evaluation should be conducted in accordance with the regulations 4

12 ~ of their individual institutions. (iii) If recipients have been admitted to the next level of study by their attending universities/colleges prior to the expiration of their scholarships, the attending universities/colleges must submit the scholarship application forms filled out by the recipients, their academic transcripts in Taiwan, and proof of admission, to the MOE for change of scholarship levels and terms. The MOE will notify the universities/colleges, the MOE designated office and relevant representative offices. XII. Transfer: (i) After studying for a semester at a university/college, a recipient is allowed to transfer once to another university/college/department listed in the "Association of Taiwan Scholarship Program Schools" during the course of a degree program, if the pertinent educational institutions approve this request. (ii) Recipients that wish to transfer to a different degree program at another university/college/department/graduate school, must re-apply to the original institute of the Taiwan Representative Offices. (iii) When applying for a transfer, the original university/college must notify the recipient and its transferring university/college of the recipient's scholarship type, award period and transfer date. The transferring university/college must notify the recipient and the original university/college that it agrees to the transfer date. Both universities/colleges must send copies of the transfer to the MOE, relevant Taiwan Representative Offices, and the MOE designated office. XIII. The university/college of the recipient should apply and verify the scholarship in accordance with the following time period and processes each year from the MOE designated office: (i) After each semester's student enrollment, universities/colleges shall pay a monthly subsistence allowance to the recipients. The MOE will pay the universities/colleges in two installments: the first installment is for January through August, and universities/colleges should apply for appropriation by January 5th; the second installment is for their appropriation by January 5th ; the second installment is for September through December, and universities/colleges should apply for their appropriation by September 30th. When applying for an appropriation, universities/colleges should submit a list of recipients and student-signed receipts. In cases where 5

13 [Y universities/colleges fail to apply for their appropriation in time, it is their responsibility to pay a monthly subsistence allowance to the recipients. (ii) Recipients that are suspended, withdrawn or expelled from universities/colleges shall have their scholarship revoked and subsistence allowance suspended. When this occurs after the 15th of the month, recipients will not be required to return that month's subsistence allowance. Tuition and other fees paid must be returned pro rata to the designated office by the MOE and processed and verified separately. XIV. Other key provisions: (i) International students: 1. Scholarship applicants should apply directly for admission to universities/colleges listed in the "Association of Taiwan Scholarship Program Schools" (see Appendix 1) within the application deadlines. 2. Other than tuition and other fees, recipients are responsible for the payment of all other expenses. In case of financial hardship, recipients may apply to their registered universities/colleges for payments to be deducted from their subsistence allowances. 3. Should the recipients' academic and conduct performances or their attendance record fall below the required standard of their registered universities/colleges, their scholarships will be suspended or revoked in accordance with the rules and regulations of the universities/colleges. 4. Should recipients be in simultaneous receipt of any other award or subsidy granted by Taiwan government agencies or education institutions in Taiwan, upon verification, their scholarships will be revoked and any stipend and subsistence allowance given to them during the period of overlap shall be returned. 5. Recipients are required to join the National Health Insurance plan. They must purchase other forms of medical insurance before enrolling in the National Healthlnsurance plan according to National Law. 6. Upon enrollment at universities/colleges in Taiwan, recipients are not allowed to study in any other country as exchange or dual/joint degree students. Should such a case occur, the recipients' scholarships will be revoked and the remainder of the award period shall not be retained or deferred. Recipients on exchange as part of the degree program are exempt from this rule, but they shall not receive any tuition stipend and subsistence allowance during the time period outside of Taiwan. 7. Recipients are not allowed to work illegally (including part-time work) 6

14 0) while in Taiwan. If recipients engage in any labor activity without the MOE's approval of award renewal or without notifying their universities/colleges, their scholarships will be revoked and they need to return any stipend and subsistence allowance given to them during the period of employment. (ii) Universities and colleges: I. Universities/colleges shall refer to their respective guidelines for admitting international students and notify applicants of their final decision no later than June 15th of each year. 2. Universities/colleges are required to establish their own regulations in relation to financial aid for recipients so that recipients may apply for payments they are responsible for to be deducted from their subsistence allowances. 3. The suspension and revocation of this scholarship is under the provisions ofthe recipients' universities/colleges of enrollment and the MOE. In case of withdrawal, suspension, expulsion, or any other violation, universities/colleges must immediately suspend or revoke the recipients' scholarships, note the reason, period of suspension or revocation, and notify the MOE, the Bureau of Consular Affairs, the National Immigration Agency, and the MOE relevant Taiwan representative offices, the recipients and the designated office. In addition to the provisions of universities/colleges, scholarships may be suspended or revoked if one the following situations arise: (I) Recipients are absent for more than one-thirds of a single month excluding school breaks. Upon verification, the recipients' subsistence allowances for that month shall be suspended with the recipients' scholarships subject to revocation. (2) Recipients' scholarships are revoked if they study in any other country as exchange or dual/joint degree students while in receipt of their Taiwan scholarships. Recipients on exchange as part of a degree program will not receive any tuition stipend and subsistence allowance during the time period outside of Taiwan. (3) Recipients who violate Taiwan laws, are imposed with any major demerit at the university/college, or withdraw or be expelled from the university/college shall have their scholarships revoked. In case of transfer to another university/college or department or voluntary withdraw from their original universities/colleges, recipients' scholarship will 7

15 @) not be revoked. (4) Failure to submit at the time of enrollment for each study term an Alien Resident Certificate (ARC) with "pursuing studies" as the reason for stay by the deadlines specified by the recipients' universities/colleges, or altering the reason of stay while in receipt of the scholarships. (5) Recipients found working illegally or engaging in any labor activity without the MOE's approval of award renewal or without notifying their universities/colleges shall have their scholarships revoked. Any stipend and subsistence allowances given to them during the period of employment must be returned. (6) Recipients whose academic average for the semester is below the passing standard set by their universities/colleges will have their scholarships suspended for a month; recipients whose academic average for the semester is below the passing standard for two consecutive semesters will have their scholarship revoked starting the next semester. 4. Relevant institutions wishing to employ recipients on a part-time basis should apply for employment permit in accordance with the Employment Service Act (ESA). Recipients' universities/colleges should, in accordance with this guideline, review each case, and upon approval, state the proposed period of employment, nature of employment, and total working hours. A copy of the recipients' academic transcript for two consecutive semesters must be submitted to the MOE for the evaluation of the renewal of the recipients' scholarships. 5. Upon recipients' arrival and enrollment, each university/college is required to organize orientations for recipients in order to inform them of the rules and regulations regarding scholarship renewal, grade calculation and award, and scholarship issuing, suspension and revocation. Each university/college should also issue the scholarship monthly, monitor scholarship suspension and revocation, and process scholarship renewal. 6. Universities/colleges should set up a specific unit and personnel to liaise with recipients, provide academic and student support, and encourage recipients to actively participate in school activities and national volunteer work during their stay in Taiwan. 8

16 ([;) XV. Taiwan Scholarships granted before and for the 2011 academic year are subject to the following: (i) Undergraduates will be awarded a monthly stipend ofntd25,000, and postgraduate students a monthly stipend ofntd30,000. (ii) Recipients will pay their own tuition fees and other fees from the beginning of the award period until the expiration of their award, graduation, withdrawal, or expulsion. Other than the differences in the stipend, any regulations in relation to scholarship suspension and revocation are subject to these revised guidelines. Recipients that pre-enrolled for the 2011 academic year for Chinese language sessions are subject to the Ministry of Education Short Term Research Award ( STRA) and Huayu Enrichment Scholarship ( HES) International Student Directions. Beginning from the 2012 academic year, new recipients of the Taiwan Scholarship must abide by these revised guidelines. 9

17 i]) 'l'~(~l!l!w'if!!l) Form A (For new applicants only} * a APPLICATION FORM FOR A TAIWAN SCHOLARSHIP INSTRUCTIONS: This application form should be typed and completed by the applicant. Each question must be answered clearly and completely. Detailed answers are required in order to make the most appropriate arrangements. If necessary, additional pages of the same size may be attached. ;lj!;i\<lllii!d.a.ftlkiii;ij;lij, 'IJI.:Wlll1ii, P).:f!JI!il'fi'M, Jill'li 11i!l!, Iii! II.A. OJ ~ ff J?.l. fcj lujf~:bu A~ IIJI. Please check. RIMP.J.l'MJI Which type of scholarship are you applying for? o Undergraduate Scholarship.:kfl!l!t!J~ o Master Scholarship liiit±l!t ~ o Doctoral Scholarship ~±l!t!j~ 1. PERSONAL DATA -fi.a.litj!!;;r*'f 3 NAME 16:'8 b. CITY and COUNTRY OF BIRTH tll!j:..jl«mbuiiijlg c. NATIONALITY lis Title llljlilf : Mr./Mrs./Ms. Please attach a recent Surname ( Last name ) 16: : Given Name(s) '8 : Chinese Name <!>3tl6:'8 : photograph taken within the last 3 months. l!i :::. illl JHI! f\" *Note: If one or both of your parents was an ROC national at the time of your birth, you are an ROC national as well and therefore not elieible to apply, FATHER :5(: MOTHER~ d. PARENTS' Name l!'t's: Name l!'t's: INFORMATION ~:&Jl~ Nationality liillll: Nationality Iiiii II: Place of Birth til!ell!!: Place of Birth til!ell!!: -1-

18 e. contact Permanent Address *R:It!rl.lt : INFORMATION ~*&Jt!!Jal:, 11~, ~H Mailing Address (If different from above)!lill'ili':ll!!:l!t :!fill#- Telephone llli!i : 'IIT-!I!Ili'l' : Cell phone ' 111: f. SEX i'.t.ilu D Male J!l D Female tt. g. MARITAL STATUS jtij4!h~)}l. D Single llll~ D Married 811 h. DATE of BIRTH (Day a I Month Jl I Year!F): ~a i. PAST RESIDENCE in DNever ~; DYes, from (ddlmm/yr) to (dd/mm/yr).j!, ltawj TAIWAN Ji!ittll reason for residence Ji!HtiJI'Il: j. Taiwan Scholarship/ Huayu Enrichment Scholarship Award History lliii#ui:lttiit lill:lt!!uii:lt J!.*<l. k. HEALTH CONDITION iillaalll. DNone 1111; DYes, from (dd/mm/yr) to (dd/mmiyr);j!, ~awl Type(s) of Scholarship Awarded: 0 Excellent D Good 0 Fair I CHRONIC DISEASES D None 1111 tii'.tl'iii D Yes 1!- Please specify \'ill1111jl : m. CONTACT PERSON, INCASE OF AN EMERGENCY Jl~$i4lllii*!.A. Name lit~: Relationship 1111~: Address :ll!!:lll:: Telephone IIIli: II T-11!1'1': Cell phone ' 11: - -2-

19 0J 2. LANGUAGE PROFICIENCY w.f ~ g;b ( For applications to not all-english programs, a copy of results or certificate for the "Test of Chinese as a Foreign Language" (TOCFL) Level 3 or above is required.) LANGUAGE PROFICIENCY iffi<=~;ij RR'R CHINESE ENGLISH COMPREHENSION READING il WRITING. SPEAKING~ a OJ a OJ a OJ a OJ Excellent Good Fair Excellent Good Fair Excellent Good Fair Excellent Good Fair (Other, please state) - 3. EDUCATIONAL BACKGROUND ~lif1fll: Level ~ll Secondary Education <P Undergraduate Level Education ::kl!l! Graduate Level Name oflnstitution Country &City Period of Enrollment tft,g lt!!jii ;ut~m i ' ' I Education lijf!ii!pif REFERENCES :IIUiilll-tiL (A) liflf;lf Name ttt,g Position lllll5 Telephone, or Mailing Address 11il!i&llill'illt!!:!!l: 5. PREVIOUS EMPLOYMENT (Use one line for each position) I~ill!JI Position 115 Company/Organization Period of Employment Responsibilities,g~ D&5Jlflr.ll If\'~B)l L -3-

20 ( ) 6. PRESENT EMPLOYMENT JJl.JtllAA551. a COMPANY/ ORGANIZATION lljj,gjj b. POSITION Qfj~J c. 1=1 Jill Address lt!!:ij!: : d. CONTACT INFORMATION IIIU&1UJ\ Telephone 11\lli : Cell phone ' 11: Fax 1111: IIT-Iilli4 : 0 Govt. Minis!~ 0 University/ 0 Govt./State-owned e. TYPE OF Agency illi:~ R r~ Institution 7\!J~IIJ/. Enterprise ~'11Hit ORGANIZATION 0 Locally-owned 0 Joint Venture 0 International 0 NGO llll#f'i!jl Enterprise fj..a.:ll?:jit.g.jl:ll?;jit Enterprise llllil~'lil ~~illi:~i!iiiii&!ui f. PRESENT DUTIES& YEARS OF EMPLOYMENT!J1.1flll5 hutlllf I!H 7. UNIVERSITY/DEPARTMENT, YOU PLAN TO ATTEND IN TAIWAN JIUtfi;;'I:!J~:iHJL~UJT University/college and department: -4-

21 fij 8. PLEASE BRIEFLY STATE YOUR STUDY PLAN WHILE IN TAIWAN afffil"j fei!uiaif 9. DECLARATION: I declare that: D I am neither concurrently an ROC national, nor an overseas compatriot of the ROC; o D D I am not currently undertaking studies in Taiwan for the same educational level as the scholarship type for which I am applying; I am not applying for this scholarship as an exchange student resulting from an agreement signed between my home institution and any Taiwan university/college; The information I have given on this application is complete and accurate to the best of my knowledge. Applicant's Signature Date,, -5-