Fall Dual Degree Application_JKU Only

APPLICATION FORM FOR DUAL DEGREE PROGRAM ADMISSION

*Title(Mr./Ms.):

*English Name:

Chinese Name(if applicable):

*Date of Birth(yyyy/mm/dd):

*E-mail:

*Telephone No.:

*Nationality:

*Passport No.:

*Permanent Address(Home Country):

*Mailing Address:

*Emergency Contact Person:

*Emergency Contact Person's Telephone Number:

*Do you hold an Alien Resident Certificate or National Number in Taiwan now/before?:

Yes No

If yes, please enter your Alien Resident Certificate/National No.:

*Name of Institute:

*Major at the home university:

*Year:

*Have you learnt Chinese before:

Yes No

*Financial Statement:

I certify that I can afford the expense during my stay in Taiwan for the dual degree program. Please refer to the below link for the estimated expenses.

Living Expenses in Kaohsiung

A Copy of your Passport (max. 100 MB):

Passport Profile Picture in jpg. format only (max. 10 MB):

A Copy of Enrollment Certificate in English issued by your Home University (max. 100 MB):

Transcript for your current degree (max. 100 MB):

For ESSCA student, please provide your bachelor transcript if you are coming in the first year of master.

Letter of Attorney:

The letter of attorney is to ensure that the office is authorized by you to help you with the administration processes when you are not physically here in Taiwan. Please remember to sign before you upload this document.

*Health Examination:

I understand the Health Division in NSYSU might require a copy of the Health Certificate for Taiwan Visa as a record, and in rare cases, they might ask me to conduct further check-ups in the appointed hospital in Taiwan with my own fees if they need further information.

*Declaration:

I certify that I have provided complete and accurate statements on this application. To the best of my knowledge, all official documents are authentic, unaltered records that pertain to me. If any information provided are found and proved to be false, I have no objection in accepting the consequences of having my admitted status or student status revoked. I understand that all official documents submitted in support of this application will remain with the university and will not be returned regardless of admission status.

*Code

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