Online Application Form (Exchange students & Dual Degree Students)

Sections marked with an asterisk(*) are required.

Personal Information

*Gender:

Male
Female

*Full Name:

First Name(Given Name)- Middle Name(If any) - Last Name(Family Name)

*Please provide the name as it appears on the passport.

Chinese Name, if any:

*⇧ Photo for Student ID Card (1” x 2” , jpg):

(1) This photo will also be used for your TTU student ID card. Please upload a photo of you taken within the last 3 months (1” x 2”, jpg).

(2) Students staying in Taiwan for over 180 days should provide a photo with a plain white background and head facing the camera for the ARC application.

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

*Age:

*Passport No.:

*A copy of passport or other document verifying nationality:

*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:

（Number and Street) /（City) /（State）/（Zip Code) /（Country）

*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:

*Grade you are studying:

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:

Fall Semester
Spring Semester

*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

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