Online Application Form (Exchange students)

Sections marked with an asterisk(*) are required.

Personal Information

*Gender:

Male
Female

*English Name:

*Must match passport exactly

Chinese Name, if any:

*Photo for Student ID Card (1” x 2” , jpg) * Please upload your photo taken within the last 3 months:

(1) This photo will be used for your TTU student ID card as well (2) Student staying in Taiwan over 180 days should provide photo with plain white background and head facing the camera for ARC application.

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

*Age:

*Passport No.:

*Birth Place (City , Country ):

*Country of Citizenship:

*Is any of your parent a R.O.C (Taiwan) citizen or resident?:

*Mobile number:

Home telephone number:

*E-mail:

*Permanent address:

(Letter of admission will be sent to this address.)

Current address:

(if different from above)

II:

Education Background

*Home University:

*Field of studies at home institution:

Please provide the following information of your home university

*Dates of attendance:

*List any degree(s) earned or expected (Date & Degree):

III:

Exchange Details

*Level of study for which you are applying:

*Department to which you are applying:

*Grade you are applying at TTU:

*Term you wish to enter:

*Anticipated length of study:

from (month/year)to(month/year)

IV:

Emergency Contact Person

*Name:

*Mobile number:

*Relation to applicant:

*E-mail:

*V Have you ever enrolled at Tatung University before?:

*VI Have you ever been charged with a violation of the law:

which resulted in probation, community service, a jail sentence, or the revocation or suspension of your driver’s license?

*VI Accommodation:

*Verification code

驗證碼語音播放器