NCTU Application Form for Incoming Research Students

APPLICANTS ARE ADVISED TO READ THE INSTRUCTIONS BEFORE COMPLETING THIS FORM.

PLEASE TYPE; HANDWRITTEN SUBMISSION IS NOT ACCEPTED (EXCEPT YOUR SIGNATURE).

PERSONAL INFORMATION*Mandatory
Passport Full Name:
First / Middle, Other / Last; Family
Date of Birth: (Month), (Day), (Year) / Gender: □Male □Female / Attach a recentphoto here.
Passport No.: / Nationality:
Mobile No.: / Home tel:
Email:
home Address: (Postal Code□□□□□)
Mailing Address (if different): (Postal Code□□□□□)
Emergency Contact Information / Name: / Tel:
Email: / Relationship:
Address:
EDUCATIONALINFORMATION*Mandatory
School Name and Country
(Do not use abbreviations.) / Start Date
(Month/Year) / End Date
(Month/Year) / Field of Study / Qualification
*[Current University] / □Bachelor□Master □PhD
[Completed] / □Bachelor□Master □PhD
LANGUAGE PROFICIENCY
Language Type / Reading / Writing / Listening / Speaking / Note:
Please describe your proficiency as E (Excellent), G (Good), F (Fair),
P (Poor), N (Nil).
Chinese
English
Other:
Specify if you have taken any Chinese or English proficiency test. (Please attach copies of proof.)
Date / Name of The Test / Score / Date / Name of The Test / Score
Department YOU WISH TO APPLY*Mandatory
*Name of Department/Institute
(Applicants must apply for a SPECIFIC“department name” or“institute name” instead of College)
*Prospective Period of Study / ____date/____month/_____year to ____date/_____month/_____year
SPECIALREQUIREMENT__Dietary*Mandatory / □None □Vegetarian □Halal □Other______
SIGNATURE OF APPLICANT*Mandatory
I, the undersigned, hereby certify that all of the information furnished above is true and correct.
______
Signature / ______
Date, Place


Instructions

  1. All applicants are to firstly identify a professor at NCTU or IICS to be their researchsupervisor before application.
  2. Required documents for application:

(1)Application form(typewritten)

(2)Curriculum Vitae (CV)in English

(3)Research Proposal (Approx. 1000 words)

(4)The Invitation Letter from supervisor (or documents showing the agreement of academic supervision from a researcher of the IICS.)

(5)A letter of recommendation(Please request referee to send the letter to )

(6)Latest “Enrollment Letter” with official stamp from the home university (or valid student ID cardwith expiry date on it, please make sure the enrollment letter should cover your duration of internship in NCTU)

(7)A copy of valid passport (valid for at least 6 months)

(8)A photocopy of diploma of the highest education degree

3. Send “completed application package (list 1-7)” in order in one time to Ms. WENDY HUANGvia email only.

  1. For any inquiries regarding the application, please contact:

Project Coordinator for Incoming Research Program: WENDY HUANG (Ms.)

E-mail:

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