Registration deadline is 2015/05/10
First name(as Shown in Passport)
Middle name(as Shown in Passport)
Last name(as Shown in Passport) *
Chinese Name
Sex * Male      Female
Passport Number *
Date of Birth (Y/M/D) * / /
Nationality *
E-mail address *
Address for correspondence *
City *
State/Province *
Zip/Postal code *
Country *
Home phone *
Please choose the programs you would like to attend below. *
       2015 Chinese Language & Culture Immersion in Taiwan
       Optional Internship Offerings
             ※Please submit the required documents for internship program to Emily Hsieh.
                1. Application Form for Visiting Student
                2. One copy of passport
                3. Certificate of insurance
                4. Two 2 x 2 inch photos
                5. CV
Highest Education
Name of school *
Country *
Major/Subject *
Graduate date *
Chinese Proficiency
Have you studied Chinese before? * YES NO
Do you have any expectations of the class? For example, which skills
(i.e. listening, speaking, reading, writing…) would you like to focus on?
I am allergic to
No food restriction  
Arrival and Departure
The program will start at 8:00 a.m. on Monday July 13th, please assure you will arrive NCU on time and check out before 11:00 a.m. on Saturday July 25th. Please fill out the chart below if you need the transportation to NCU. The Shuttle bus will be arranged by NCU is free of charge and please be on time for it. The pick-up service has two shuttle bus which are on 11:00 a.m. and 4:00 p.m. July 12th. If you will arrive NCU by yourself, please must inform the Staff of OIA. Note: If you have come earlier than the others, and need help. Please contact our staff. Contact Info: +886-989382407 or +88634207107 Ms. Gabriel
I will meet NCU staff at the Taoyuan International airport at 11 am on July 12.
I will meet NCU staff at the Taoyuan International airport at 4 pm on July 12.
I will come to NCU by myself. I will arrive at (time) on July (day) , 2015
─ If you wish to stay at the guest hostel before July 12th or after July 25th , 2015, you need to inform us in advance and pay for the extra nights.
Address:No.300, Jhongda Rd., Jhongli City, Taoyuan County 32001, Taiwan (R.O.C.) TEL:+886-3-4207107 FAX:+886-3-4203384
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