邢唷>? ?欹€ 餜bjbj剥剥A*覶覶?A668$|L鋔H!H!H!iiiiiii$鑝妏F9ieH! ^H!H!H!9i瀓???H!8i?H!i??N3X/]@|浮阈,&p踄0h磈0鋔 Z$衟?TXq`/]衟d4q$/] H!H!?H!H!H!H!H!9i9i?H!H!H!鋔H!H!H!H!XqH!H!H!H!H!H!H!H!H!6 N: 0D桍NN0 W藌p_S+^膡'Yx[2016t^%fc[ 0Appendix `!0'Y x 0W @S x[ u 哋 鷣 1\ x[ 3u 藠 h APPLICATION FORM FOR ADMISSIONTO THE APPLICANT:3u藠篘樺Nckwis?}榢X隱3u藠h?齆0This application form should be completed with one copy.Please complete this form in Chinese or English and print in Regular Script.靌3u藠1\€婯N鹼@b蔛x[MO The Department/Graduate Institute and Degree you apply for:靌3u藠KN鹼@bT1zWhich department or graduate program do you expect to study in NCUE? _______________________________________x[b_______________________________________鹼(@b)靌3u藠1\€婯Nx[MOWhat degree do you plan to pursue?x[隭 Bachelor ? ﹛隭Master ? ZS隭Doctoral Degree_______t^} _______t^} _______t^}槡[UOBfeQx[When do you intend to begin your studies at NCUE?塁Q 00000t^0000g俌N靌;e€媥[MOGRx剉顅剉簆UO? What are your educational objectives if you do not wish to enter a degree program? _____________________________________________________________________________________; P篘鶺,g菍檈 Personal Information覻T-N噀  覻T駛噀 倃媑q N黚髼N魜  Y噀(In The LanguageFull Name (in Chinese) Full Name (in English) Used at Home) (as it appears on your passport) ______________________ ________ ________ ________ __________________ (First) (Middle) (Last)鶴u錯g 鶴u0W逓 0 '`%R ? 7u MaleDate of birth _______/_______/_________ Place of Birth ________w_________^00Gender ? sY Female (mm) (dd) (yy) WM| w媑q_喖x ZZ鸜纑羖 P[sYxeNationality ________________ Passport NO. ______________________ Marital status _______ Children ____OO@W蔛麞q 麞qHome Address & Tel ___________________________________________________ (TEL)______________________ ?W@W蔛麞q 麞qMailing Address & Tel ___________________________________________________ (TEL) ______________________麞P[酧眥E-Mail Address _____________________________________________________鉽w嫼N覻T ?u藠篘軙翺Name of Legal Guardian _________________________________ (Relationship)_________________________________鉽w嫼N0W@W蔛麞q 麞qAddress & Tel of Legal Guardian ____________________________________________(TEL) ___________________(W鷣o€a}篘覻T蔛?u藠篘軙翺 ?u藠篘軙翺Name and Relationship of Contact Person in Taiwan ______________________________(Relationship)______________(W鷣o€a}篘0W@W蔛麞q Address and Tel of Contact Person in Taiwan_______________________________________________________________麞q?TEL)_________________________ 贃獕 P篘菍檈Parents Information6r獕覻TFather s Name蚹獕覻TMother s Name鶴u0W逓Place of birth鶴u0W逓Place of birth WM|Nationality WM|Nationalityo€a}0W@WAddresso€a}0W@WAddressYe瞼虁of Educational Backgroundx[MODegree-NI{x[!hSecondary School'Yx[/x[bUniversity/Collegexvz@bGraduate InstitutevQ諲Other Trainingx[!hT1zName of Schoolx[!h@b(W0WCity and Countryx[MODegreebumit^gMonth/Year of Graduate;N頞x[€MajoroR頞x[€MinorXef(W鷣g摃T樆?u哋恘 State your financial support for your education in Taiwan. ? P篘2Q膭 Personal Savings ?6r蚹汷f} Parental supports ?Ns㏑褢 Scholarship ?鷣cpNsx[褢 Taiwanese Scholarship(Please attach relevant documents) ?vQ諲 Other Source(Please specify) eP穅纑羖 Health Condition ?sO(Good) ?\颯(Average) ?頬(Poor)俌 g緐舥藠XefKN Please indicate the previous disease, if any. ______________________________________W刓O 鶴Hr錯gPublications ______________________________________________ Date Published _______________搣wkPrevious employment(s) ____________________________________________________________________________________________飪瀶噀 z Chinese proficiency level}€ Listening?*Q Excellent?sO Good?\颯 Average?頬 Poor?Ng Don t know獖 Speaking?*Q Excellent?sO Good?\颯 Average?頬 Poor?Ng Don t know€ Reading?*Q Excellent?sO Good?\颯 Average?頬 Poor?Ng Don t know隱 Writing?*Q Excellent?sO Good?\颯 Average?頬 Poor?Ng Don t knowx[xvz 飪瀶噀~^t^ How many years have you studied Chinese? ___________________x[飪瀶噀皌僗貧-N0'Yx[b瀶噀_j薸 蔛譙UO篘c\媹c ? Where did you study Chinese(High School, College or Language institute) ?Under whose guidance?_______________________________________________________________________________矈Y;m誖 Extracurricular activities: _________________________________________________________________; s~菍檈揾賀臺1\騗s~KN菍檈 (WFhgQSb 0Please tick () the items that you have submitted.?eQx[3u藠h?齆D柤寣N TJS珟+?^gqGr D桍NN 0One set of the Application Form for Foreign students(A latest(bust) personal photo must be attached to each set.)?w媑qb珟RIfq_,gYN齆0俌 gY裀E\YuI 梥~q_,gYN齆0A copy of passport or personal identification. If applicants possess alien resident identification, do submit one copy as well.?x[!h鶴wQKNg貧x[wkbumiI孁fq_,gb TI{x[汻If噀鯪-N0駛噀錘YKN瀶噀 蒩D?N噀b駛噀o?g&N蒩搣烻bumix[!h燫藙崐I嬥z3bb鼟pS 0A copy of the applicant s certificate of the highest degree of education or equivalent academic. (The certificate must be translated into Chinese or English, if in another language, and should be sealed or signed by the issuing school).?x[!h鶴wQKNwkt^b>~甎3u藠eQx['Yx[钀簆貧}-Nx[錘 Nb>~甎 eQx[﹛ZS隭韘€椇p'Yx[錘 NKNb>~甎 -N0駛噀錘YKN瀶噀 蒩D?N噀b駛噀o?g&N蒩搣烻bumix[!h燫藙崐I嬥z3bb鼟pS 0Transcripts of the applicant s past academic performances issued by a foreign school (The certificate must be translated into Chinese or English if in any other language , and sealed or signed by the issuing school.)?錘-N噀b駛噀癲饛 N~v髞擭~vW[KN陙砅+T€孁f妅u 1齆D桍N孨 0A copy of autobiography (a study plan included) about 300 to 500 words in Chinese or English by the applicant. (Appendix a!)?g褟 N PggQ1u褢崌_j薸衏鶴芠\惸[,g!h b搣袡Y(橴哤欼媤Q橮硩 Y(W鷣1\x[KN汻If鴉-N0駛噀錘YKN瀶噀 蒩D?N噀b駛噀o?g D桍N N 0Doccumented evidence of financial support for the whole study period in Taiwan, ROC(these documents must be translated into Chinese or English)(Appendix b!):Please select one of the following methods of proof:a.The financial Statement must be authenticated by the ROC embassy,consulate, representative offices or other institutions authorized by the Ministry of Foreign Affairs.b.The financial Statement must be issued by a financial institution within the past three months. The statement must be on the financial institution s official letterhead and mailed to NCUE in an official, sealed envelope.?,g!hwQP}鴉D桍N踁 0NCUE international student declaration form. (Appendix c!)?3u藠eQZS隭韘€ 鍿D柀x隭x[MO謯噀YN齆 俌謯噀翺(uY W噀W[癲1\€ 鍿D?N噀b駛噀Xd亯YN齆!q謯噀€MQD /U樞c鶴鴙軙If噀鯪 0Those who apply for doctoral programs need to submit a copy of their master s thesis. If the thesis is written in a foreign language, a summary in Chinese or English is required. (Applicants without thesis need not turn it in, but must provide related official certification.)藠\錘 Nh場N鯋腫髞,g!h W洊U啨t 0W@W500p_S^2惙_飴N_Please send application to:Office of International and Cross-strait Affairs National Changhua University of EducationNo.1, Jinde Road, Changhua City 50007, Taiwan (R.O.C.) 0D桍N孨0 陙 砅 (+T€孁f妅u) 0Appendix a!0 Autobiography (Including Study Plan) 3u藠篘 靌3u藠鹼@b 靌頞€媥[MOApplicant: __________________ Department/Institute: ____________________ Degree Proposed:____________藠錘-N噀b駛噀癲隱}300髞500W[ !|饛 P篘虁of0Blx[誖_j0(W,g!hBlx[g摃KN€孁f妅uI{ 蔛*g哋u痬弶僐0Please write a statement about 300 to 500 words in Chinese or English, stating your background,motivation, study plan at NCUE, and career plan after finishing your study. 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; 錘 N菍檈GW1u,g篘kX隱 &N搣s?}錱 軴I媍k簒!q0I have carefully reviewed the above information and hereby pledge that all of it correct.3u藠篘=|T 錯gApplicant s signature _____________________ Date _________________ 0D桍N N00Appendix b!0 W藌p_S+^膡'Yx[Y Wx[u3u藠eQx[汻If鴉,g篘 ___________________ 偒堓OI嫼N ____________________ 汻Ifc g€覻T  3u藠€覻T  軙翺/f _______________ X樤d軴珗軴I嫼N(W W藌p_S+^膡'Yx[1\x[蔛u;m@bNR粚(u/e鶴0dk魜 W藌p_S+^膡'Yx[軴I嫼Nw媑q_喖xo€a}麞q麞P[鯋鯪wQP}錯g t^ g 錯 0D桍N踁00Appendix c!0wQP}鴉Declaration FormN0,g篘軴I?{T-N飪l WYe瞼钀 0Y Wx[u哋鷣1\x[誰0KN弶歔01.I hereby declare that I have met the requirements indicated in the  Regulations for foreign students studying in Taiwanannounced by the Ministry of Education of R.O.C.孨0,g篘軴I?gwQ裀u珟RNNwQ-N飪l W WM|02.I hereby pledge that I do not hold the overseas Chinese student status and the nationality of the Republic of China. N0,g篘(W鷣*gm?Yx[b?h恱[03. I have never been expelled from any attending university or college in the ROC.踁0,g篘*g錘 0裀u轛 W1\x[蔛\誰03u藠eQx[-N飪l W WgQKNvQ諲'Yx[b?h0 4.I have never entered and attended any other college or university in the ROC under the  Regulations Regarding Study and Counseling Assistance for Overseas Chinese Students in Taiwan. 擭0,g篘@b衏汷KNg貧x[wkbumiI孁f1XT'Yx[钀簆貧-NbumiI孁f0xvz@b€簆'Yx[b/f﹛隭bumiI孁f (Wbumix[!h@b(W W禰GW簆T誰 gHe諷梍bumi菍~甎-N0駛錘YKN瀶噀 蒩D?N噀b駛噀o?g \搣1ub W袡YO?0鉔h圲0婲U0烻1\€?Yx[bvQ諲搣Y钀坈 k_j薸W欼 鍌衏鶴3u藠Bf!q誰諷梍ck,g \錘q_,g筫_3u藠 &N糴ck_eQx[MR軋ck06.I agree to submit financial statement, diploma of highest degree, and transcripts (if not in Chinese or English, translation is required) that have been authenticated by the consulate or representative office located abroad, or by the college/university I attended/graduated from, or other MOE authorized institutions. When unable to provide official authenticated documents, I shall send in the photocopies for admission first and then submitted the original copies before the official enrollment date. 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