Southern Taiwan University

INTERNATIONAL STUDENT APPLICATION COVER PAGE

Name of Applicant: Mr./Ms.________________________________________ Intended Program:_______________________________________________ Entrance Date: __________________________________________________
Please check () hich doc!ments listed "elo are enclosed ith #o!r application form:

Document Type Application $orm Declaration (signed) Photocop# of 'rad!ation Diploma/(ertificate Photocop# of +fficial Academic )ranscript 4ealth (ertificate ) o &ecommendation ,etters $inancial %tatement

Document Type Personal Essa# (%tatement of P!rpose) &es!me (if working full-time) %PM or %)PM or *E( )ranscript (for !l!"#i!n# onl"$ Proof of ,ang!age Proficienc#: +fficial %core &eport for
)+E$, (-.. or (/) 012) or )+EI( (3-.) or IE,)% (-..)

+ther &ele5ant Doc!ments or A ards

Application No. +$$I(E +N,;

Southern Taiwan University

Attach a recent photograph here (a"o!t 0< = 7<)

APP,I(A)I+N $+&M $+& IN)E&NA)I+NA, %)*DEN) ADMI%%I+N

0. PRINT clearl# in /,A(6 IN6 !sing (API)A, ,E))E&% (DO NOT USE CURSIVE WRITING OR OWERC!SE ETTERS). 7. (omplete the follo ing sections and send to %)*) together ith other re8!ired application materials. Application Date /da#/ /month/ /#ear/

PERSON! IN"OR#!TION
$!ll Name (In (hinese): $!ll Name (In English): ($irst) (Middle) (,ast)

Place of /irth ((it# / (o!ntr#): Date of /irth: (month) / (da#) / (#ear)

'ender Male $emale Nationalit#: Passport No:

4ome Address: ________________________________________________________________________ Mailing Address:_______________________________________________________________________ E9mail Address: _______________________________________________________________________ )E,: Parent or ,egal '!ardian Name: )E,: $A::

Address:_____________________________________________________________________________ Emergenc# (ontact Person Name: )E,:

Address:_____________________________________________________________________________
7

EDUC!TION !ND $U! I"IC!TIONS

De%ree Items Name o( Schoo' &i%h Schoo' Co''e%e or University Co''e%e or University

City an) Country De%ree Con(erre) !tten)ance Perio) Gra)uation Date #a*or #inor $rom )o $rom )o $rom )o

!C!DE#IC O+,ECTIVES
In hich department do #o! intend to st!d# at this !ni5ersit#> Department (hinese9)a!ght English9)a!ght

?hat degree do #o! plan to p!rs!e> /achelor Master Ph.D. ?hat o!ld "e #o!r primar# so!rces of financial s!pport hile st!d#ing at %)*)> Personal %a5ings Parental %!pport 4ealth (ondition: 'ood A5erage Poor Please descri"e #o!r health iss!es@ if an#: __________ __________ %cholarship +ther%pecif#

SC&O !RS&IPS
Do #o! intend to appl# for a scholarship> ;es
2

 No

!NGU!GE PRO"ICIENCP'ease rate your Chinese . En%'ish 'an%ua%e pro(iciency. Chinese Pro(iciency E=cellent E=cellent E=cellent E=cellent 'ood 'ood 'ood 'ood A5erage A5erage A5erage A5erage Poor Poor Poor Poor

En%'ish Pro(iciency: At least one of the follo ing test scores is re8!ired )+E$, %core: Date )aken: )+EI( %core: IE,)% %core: Date )aken: Date )aken:

!D#ISSION IN"OR#!TION
4o did #o! find o!t a"o!t %o!thern )ai an *ni5ersit#> Please choose from the choices "elo : (0) $rom m# pre5io!s school (7) )ai anese go5ernment agenc# (2) Internet search (A) Ed!cation fair (-) An %)*) representati5e presentation (3) An %)*) grad!ate (Al!mni) (1) +ther. Please specif#

Dec'aration
0. 7. I ha5e read and !nderstand the general points p!rs!ant to the Personal Data (Pri5ac#) +rdinance. I a!thoriBe %o!thern )ai an *ni5ersit# to !se@ check and process m# data as re8!ired for m#
A

2.

A.

-.

application. I !nderstand that !pon s!ccessf!l application@ m# data ill "ecome a part of m# st!dent record and ma# "e !sed for all p!rposes as prescri"ed !nder rele5ant r!les and reg!lations as ell as attendant proced!res@ so long as I remain st!dent at this *ni5ersit#. I declare that the information gi5en in s!pport of this application is acc!rate and complete. If an# information pro5ided is fo!nd to "e in5alid or fake@ I ill accept the conse8!ences set forth in %)*) &eg!lation No. A-. %)*) &eg!lation No. A- states: CIf an# doc!ment s!"mitted for admission is fo!nd to "e forged@ fra!d!lent or altered@ the st!dentDs stat!s ill "e re5oked. +ne hose st!dent stat!s has "een re5oked ill not "e iss!ed a transcript nor a degree. If this 5iolation is fo!nd after grad!ation@ not onl# ill his or her diploma "e re5oked "!t the 8!alification of grad!ation ill also "e cancelled.

!pp'icant/s Si%nature0

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