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Application Form For The Mofa Taiwan Scholarship
Application Form For The Mofa Taiwan Scholarship
Applicants should fill out this application form clearly and accurately. Detailed answers are
required in order to make the most appropriate arrangements. If necessary, additional pages of the
same size may be attached.
.
Please check:
Which type of scholarship are you applying for?
Undergraduate Scholarship
Do you need to attend a Mandarin Language Enrichment Program (this must be undertaken during the
first year) ( )? Yes No If Yes, please fill in the name of the
language center in part 6 on page 4
1. Personal information
a. Name
Title : Mr./Mrs./Ms.
Given Name(s) :
*Note: If one or both of your parents was an ROC national at the time of
your birth, you are also an ROC national and therefore not eligible to apply.
d. Parents
Father
Mother
Name :
Name :
Nationality :
Nationality :
Place of birth :
Place of birth :
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e. Contact information
Permanent address :
Mailing address (if different from above) :
Telephone :
Email :
Cell phone :
f. Sex
Male
g. Marital status
Single
h. Date of birth
Female
Married
j.
Have you received a No ; Yes, from
Taiwan Scholarship or Type(s) of Scholarship:
Huayu
(dd/mm/yr) to
(dd/mm/yr).
(dd/mm/yr);
Enrichment
Scholarship before?
/
k. Health condition
Excellent
Good
Fair
l. Chronic diseases
None
Yes Please specify :
Name :
Relationship :
Address :
Telephone :
Email :
Cell phone :
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2. Language proficiency
Language
Comprehension
Reading
Writing
Speaking
proficiency
Excellent
Good
Fair
Excellent
Good
Fair
Excellent
Good
Fair
Excellent
Good
Fair
Chinese
English
(Other, please
state)
School name
Subject
Qualification
Year obtained
(Certificate/Diploma/
Degree)
4. References ()
Name
Position
Company/Organization
Period of employment
Responsibilities
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-4-
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Date
_____ _____ _____
Day Month Year
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