TUNGHAI UNIVERSITY INTERNATIONAL STUDENT SCHOLARSHIP APPLICATION FORM

DEADLINE: Applications must be apply before the end of the final examination period of the second semester. Please read carefully and fill out in print.

In case of any discrepancy between the English text and the Chinese text, the Chinese text shall prevail.

1 APPLICANTS PERSONAL INFORMATION

Chinese Name Place of Birth Gender (Female) (Male) English Name on Passport Birth Date Citizenship Country

E-mail address

1.

2. Permanent home address

Number & Street

Apartment#

City/Town

State/Province

Country

Zip/Postal/Code

Permanent home phone

Cell phone

If different from above, please give your current mailing address for all admission correspondence.

Number & Street

Apartment#

City/Town

State/Province

Country

Zip/Postal/Code

Name Contect Person in Taiwan(if applicable) Phone

Address ARC Number

STUDY INFORMATION
College Department/I nstitute

 Grade ?

PhD

MA

BA

Student ID.No.

Grade (No) (Yes) ? (No) (Yes)

Will you graduate this year? ? Are you currently receiving any scholarship?

(Month)

(title of the scholarship ) (Duration of receiving the scholarship )

From

/year

/month to

/year

/month

? Have you ever received any scholarship?

(No) (Yes) 1.(title of the scholarship ) (Duration of receiving the scholarship )

From

/year

/month to

/year

/month

2.(title of the scholarship ) (Duration of receiving the scholarship )

From

/year

/month to

/year

/month

Checklist
Please tick the items that you have

submitted.

Check

1 A completed Scholarship Application Form Study Plan in Chinese or in English

Items of Documents for Admission Application

Copies

 Transcript Proof of current registration-for current student only Two Letter(s) of Recommendation Any academic distinctions or honors you have received since the 9th grade or international equivalent

1 1 2

APPLICANTS SIGNATURE
/ I certify that the information provided in my application is complete and accurate. Applicants signature Date

..

--- Mega International Commercial Bank Account Number: () or Postal Savings Account Number (First Seven Numbers) () (Please paste a copy of your bank book cover here) (Last Seven Numbers)

Note: The item above is NOT needed at this point. Bank account will be opened after your arrival in Taiwan. Provide the account information to Office of Student Affairs.

RECOMMENDATION OF REVIEWERSOFFICE USE ONLY

Recommendation of Reviewers.Office use only.
4