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Application Form of International Student Admission
National Central University 之半身照片
Academic Year 2012 Attach photo taken
14. E-mail Address: Please draw a line through the zero (ø)
獲得學位及學位授
日期
學校名稱/城市國家 主修/平均成績 予日期
Dates Attended
Name of School/City, Country Major/G.P.A Degree Earned and
(mm/yy--mm/yy)
Degree Date
高中 Secondary School
學院或大學 University/College
請儘可能提供詳細學歷 /教育背景,以利您的資格審核。 Please list completely all undergraduate and graduate studies
and other academic or professional qualifications relevant to your application. It is essential that you provide as much
information as possible, as this will be used to assess your suitability for your chosen program.
父親姓名 父親國籍及出生地
Father’s Name Father’s Nationality & Place of Birth
母親姓名 母親國籍及出生地
Mother’s Name Mother’s Nationality & Place of Birth
地址 Address ____________________________________________________________________________________
________________________________________________________________________________________________
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英文測驗名稱 English Test Name/ 測驗結果 Test Result/ 測驗日期 Test Date
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