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    02. form

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    Copyright:

    © All Rights Reserved
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    2 views1 page

    Form

    Uploaded by

    ekaauliajunedi

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Application Number (For Office Use)

    International Student Information Form


    Office of International Affairs, NTOU

    Student No. ____________________________________________ Nationality_____________________

    Name (same as passport)______________________________________________


    Given name(s) Surname Photo

    Chinese Name ____________________________________________________


    Given name(s) Surname

    Sex: Male Female Marriage: Married Single


    Native language ______________________ Religion ______________________

    Highest educational background


    Name of school ____________________________________ Major________________________

    Degree program: Doctor Master Bachelor


    Department / Institution ____________________________________________________________________________________

    Date of Birth __________ / _________ / __________ Passport No. ______________________________


    ( month / day / year )

    Arrival Date __________ / _________ / __________ Alien Residence No.________________________


    ( month / day / year )
    Expiration Date ________________________
    Means of financial support ____________________________________________________________

    Correspondence Address _________________________________________________________________________________________

    Tel. _____________________________ Mobile __________________________ E-mail __________________________________

    Permanent Address _____________________________________________________________________________________________

    Tel. _____________________________ Mobile __________________________ E-mail __________________________________

    Next of Kin In Taiwan (to Notify in Case of Emergency) Relationship _______________________


    Next of Kin Name Title: ____________________ _______________________________________________________________
    Surname Given name(s)

    Tel. _______________________ Mobile _____________________ E-mail ___________________


    Fax _______________________ Address ____________________________________________________________________

    Next of Kin Outside Taiwan (to Notify in Case of Emergency) Relationship __________________
    Next of Kin Name Title: ____________________ _______________________________________________________________
    Surname Given name(s)

    Tel. ______________________ Mobile ____________________ E-mail ___________________


    Fax _____________________ Address ____________________________________________________________________

    Signature Date / ____/ ___


    ( month / day / year )

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