Application - Office of International Affairs NSYSU

NSYSU-UB Dual Degree Program: Application from the University of Brawijaya

【Application deadline】

Fall Term: April 25^th

Spring Term: November 25^th

*Academic Year:

*Semester:

*Department / Institute to Apply at NSYSU:

*Full Name:

Name in Chinese (if any):

*Nationality:

*Passport Number:

*Date of Birth:

*Gender:

*E-mail:

*Phone Number:

* Please include country code.

*Permanent Address at Home Country:

* Please include zip code.

*Mailing Address:

* Please include zip code.

*Emergency Contact Full Name:

*Relationship to Emergency Contact:

*Phone Number of Emergency Contact:

* Please include country code.

*E-mail of Emergency Contact:

*Do/Did you hold an Alien Resident Certificate (ARC) or National ID Number in Taiwan?:

Yes
No

If yes, please enter your ARC/National ID No.:

*Accommodation:

The Dorm Service Center will arrange the rooms based on students' preferences. However, when their preferences are fully booked, the Center reserves the right to assign students to another type of dorm and adjusts the dorm fees accordingly.
No cancellation after the submission of the application. If one insists to cancel the reservation, the full amount of the dorm fee will be charged.
The dorm fee is subject to change.

【Dorm Rooms and Facilities】

*National Health Insurance:

I understand that it is compulsory to enroll in the National Health Insurance after residing in Taiwan for six months with an Alien Resident Certificate.

The National Health Insurance Act stipulates that foreign nationals with a valid Alien Resident Certificate or Taiwan Area Resident Certificate ( including those from Hong Kong, Macau, and China) must be registered in the National Health Insurance program upon living in Taiwan for 6 months. Once you are qualified to join the NHI, OIA will inform you by email. If you have already joined the NHI program, please inform the OIA beforehand. The NHI fee will be included on the tuition fees invoice every semester. For more information, please visit National Health Insurance Administration, Ministry of Health and Welfare.

*Would you like to take free Chinese Language Courses?:

Yes
No

* Those who have previously studied Chinese are required to take the Placement Test at the beginning of the semester.

* The Chinese Language Center reserves the right to adjust class schedules or levels based on enrollment in each class.

*Bank Financial Statement of USD4,000 (max. 100 MB):

*Passport Profile Page (max. 100 MB):

*Certificate of Enrollment (max. 100 MB):

* The document must be issued by your Home University in English.

*Official Transcript of Current Studies (max. 100 MB):

* The document must be issued by your Home University in English.

*Study / Research Plan in NSYSU:

Autobiography:

*Required for the following programs:
Department of Mechanical and Electro-Mechanical Engineering
Department of Biological Sciences
Institute of Communications Engineering
International Master’s Program in Telecommunication Engineering

*English Proficiency Certificate:

Applicants whose previous degree was taught entirely in English may submit an official certificate in place of an English proficiency test score.

*2 Recommendation Letters:

Health Examination Certificate (B Form):

For visa application purposes only; it is not required during the university’s admission review process.

*Health Examination:

I understand that the Health Division at NSYSU may require a copy of the Health Examination Certificate for the Taiwan visa for record purposes. If I pursue my studies at NSYSU for more than one year (inclusive), I may be required to undergo additional health check-ups at a designated hospital in Taiwan at my own expense.

*Declaration:

I certify that the information I have provided in this application is complete and accurate. All official documents submitted are authentic and unaltered to the best of my knowledge. I understand that if any information provided is found to be false or misleading, I may be subject to consequences, including the revocation of my admission or student status. I also acknowledge that all official documents submitted in support of this application will remain with the university and will not be returned, regardless of admission outcome.

*Data Collection Consent:

I consent to NSYSU collecting my personal information for admission, registration, and other necessary administrative procedures.

*Code

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