1、国立台湾艺术大学境外交换暨交流学生入学申请数据表National Taiwan University of ArtsApplication Form for Inbound Exchange and Visiting Students 1. 申请人数据 Personal information名 Given name: 姓 Family name: 中文姓名 Chinese name: 国籍 Nationality: 性别 Sex: 男 M 女 F出生日期 Date of birth: 年/Year 月/Month 日/Day 护照号码: 通讯处 Mailing address: 户籍地 Pe
2、rmanent Address: 省 市电话 Phone Number（国码/区域号码）: E-mail: 紧急联络人 Emergency contact person: 2. 学历 Educational information目前就读学校 Current school name:系所 Department 主修 Major: 年级 Year in school: undergraduate postgraduate _ 3. 修业计划 Study Plana. 申请本校系所 The department or post-graduate institute you intend to en
3、roll in: 学院/College 系( 所)/ Departmentb. 交换计划期间 Duration of your exchange study: 2014 Spring 1 学期/ 1 Semester 1 学年/ 1 Year c. 留学动机与计划 Objective and detailed plan of study (可另附纸张 ) (about 300 words. Attach additional paper if necessary):4. 语言能力 Language proficiency:读 Reading 写 Writing 听 Listening 说 Speaking 中文 Chinese: 英文 English: Other _ : (请用优,良, 可,差 Please indicate : Excellent, Good, Fair, Poor)5. 健康情形 Health condition: (请附体检证明 Please attach health certificate.) 交换学生签名/Signature of applicant: 日期/Date: 请贴相片Attach recent bustPhotograph here
