International Higher Education Scholarship Programs--

Programs on Tropical Agriculture

Department of Tropical Agriculture and International Cooperation

National Pingtung Universit of Science and Technolog

http!""tve#npust#edu#t$!%&%&"Department"Tropica'A"english"inde(-c#htm

Contents
Introduction of University Undergraduate Program in Tropical Agriculture I. Introduction of Program II. Qualification III. Admission IV. Application Deadline V. Contact Information VI. Application Form & Tai anICDF !edical "eport !aster#s Program in Tropical Agriculture I. Introduction of Program II. Qualification III. Admission IV. Application Deadline V. Contact Information VI. Application Form & Tai anICDF !edical "eport P$.D. Program in Tropical Agriculture I. Introduction of Program II. Qualification III. Admission IV. Application Deadline V. Contact Information VI. Application Form & Tai anICDF !edical "eport Attac$ment % Attac$ment &

Introduction of Universit
'ational Pingtung University of (cience and Tec$nology )'PU(T* as founded in %+&, under t$e name of -.ao$siung (tate Pingtung /0tension (c$ool of Agriculture.(u1se2uently in %+&34 t$is sc$ool as e0panded and renamed as -.ao$siung (tate Pingtung Agricultural (c$ool-. After Tai an as li1erated from 5apanese colonial rule in August %+,64 t$is sc$ool again c$anged $er name to -Tai an Provincial Pingtung Agricultural Vocational (c$ool of Agriculture- in 'ovem1er of t$at year. T$is sc$ool as t$en upgraded to -Tai an Provincial Institute of Agriculture- in %+6,4 ena1ling a su1se2uent integration of t$is Institute it$ t$e Pingtung Agricultural Vocational 7ig$ sc$ool in %+89. After t$is integration4 t$e Institute ent t$roug$ a series of upgrades and name c$anges4 including -Tai an Provincial Pingtung Institute of Agriculture- in %+8,4 -'ational Pingtung Institute of Agriculture- in 5uly %+3%4 -'ational Pingtung Polytec$nic Institute- in 5uly %++%4 and t$en t$e -'ational Pingtung University of (cience and Tec$nology- in August %++:. Currently 'PU(T $as a total of &: departments and %; graduate institutes offering &3 !aster<s degrees and : Doctoral programs. T$ese departments and graduate institutes are distri1uted among four colleges= agriculture4 engineering4 management4 and $umanities and social sciences. 'PU(T<s undergraduate sc$ool currently offers 1accalaureate degrees to graduates of a four>year program and a t o>year program. T$e four>year program admits students graduating from vocational $ig$ sc$ools or t$eir e2uivalents4 $ile t$e t o>year program admits students graduating from vocational institutes and t$eir e2uivalents. 'PU(T $as also esta1lis$ed a nig$t sc$ool to admit students it$ at least one year<s or? e0perience. 'PU(T<s graduate sc$ool offers master and doctoral degrees in more t$an t$irty disciplines t$at cover t$e Colleges of Agriculture4 /ngineering4 !anagement4 as ell as 7umanities and (ocial (cience. A candidate to a master<s degree re2uires a 1ac$elor<s degree in a related field@ $ereas4 t$e doctoral degree is offered to researc$ers and professionals it$ a master<s degree from any university. Araduate programs at 'PU(T also provide opportunity of part>time study during ee?ends for t$ose it$ at least one>year or? e0perience $ile $olding current Bo1 active. !oving to ards specialiCed researc$ university4 'PU(T actively pursues $er academic e0cellence to 1ecome one of t$e ?ey academic 1astions in t$e Asia>Pacific "egion. In addition to offering lectures in C$inese4 'PU(T also offers %;8 credit $ours of courses in /nglis$. In positioning $erself to 1ecome one of t$e orld<s leading academic institutions4 'PU(T esta1lis$ed lin?age it$ more t$an 9; orld reno ned universities t$roug$ various academic e0c$anges4 distance education4 e0c$anges of faculty and students4 s$aring of resources4 and Bointly conducting researc$.
>%>

T$e t$ree main educational goals of 'PU(T are ela1orated as follo s= (piritualiCation D T$roug$ education4 nurturing and arm caring4 'PU(T<s students are positively influenced to develop a $ealt$y and complete personality. 'PU(T<s students are educated to 1ecome not only a competent professional 1ut also a ort$y mem1er of t$e society it$ strong social responsi1ilities and a civiliCed person it$ fine intellectual and aest$etic tastes. ProfessionaliCation D Constantly a are of t$e needs of la1or mar?ets4 'PU(T trains students to possess solid a1ilities to or?4 to learn and to create or invent to meet t$e demands of la1or mar?ets. (tudents are encouraged to pursue careers in scientific or tec$nological researc$ and development or in 1usiness management so as to en$ance t$e promotion of industries in t$e nation. InternationaliCation D In ?eeping it$ t$e trend of internationaliCation4 'PU(T<s students are cultivated to ac2uire intellectual and aest$etic 2ualities ena1ling t$em to esta1lis$ a strong foot$old in t$e glo1al community. T$e 2uality to 1e ac2uired includes improving international language a1ility4 en$ancing ?no ledge of international society4 and understanding t$e development of international politics and economics. T$e final goal is to ena1le students to 1ecome more competitive internationally.

>&>

Undergraduate Program in Tropical Agriculture

I# Introduction of Program T$ere ill 1e t o main areas of focus= plant and animal production. In plant production4 t$e courses include 1ut are not limited to= agronomic and $orticultural crop production@ plant protection@ and agri>1usiness management. In animal production4 t$e courses include 1ut are not limited to= anatomy and p$ysiology of animals@ utiliCation of animal products@ fis$ 1reeding and propagation@ and pond management. A total of %9; credits must 1e completed= 98 credits re2uired 1y t$e University4 93 credits re2uired for specialty4 9& & 98 credits re2uired for groups specialiCing in plant production & animal production4 and &, & &; elective courses credits re2uired for groups specialiCing in plant production & animal production4 respectively. II# )ualification CitiCens of Tai an#s Central American allies or Tai an (c$olars$ip "ecipients $o are eligi1le for Tai anICDF (c$olars$ips it$ a senior $ig$ sc$ool or vocational $ig$ sc$ool education4 or t$e e2uivalent4 from institutions approved 1y t$e !inistry of /ducation4 "EC )Tai an*4 can apply for t$is undergraduate program. Applicants from countries $ere /nglis$ is not t$e native language are re2uired to ta?e t$e TE/FF or e2uivalent /nglis$>proficiency verifications. III# Admission Source of *unding for the Scholarship Program T$e sc$olars$ip program designed for t$e undergraduate students is for t$e period from (eptem1er &;%; t$roug$ 5uly &;%,4 funded 1y t$e International Cooperation and Development Fund )Tai anICDF*. Program Duration It is a policy of t$e sc$olars$ip program t$at t$e duration for t$e undergraduate programs is from (eptem1er &;%; to 5uly &;%,. (tudents s$all complete and successfully pass at least %9; credits it$in t$e stipulated time period4 and receive t$e GHaccalaureate of (cienceI degree from t$e Department of Tropical Agriculture and International Cooperation4 College of Agriculture. If a student fails to finis$ t$e re2uirements for t$e 1accalaureate degree it$in t$e stipulated time period4 said student s$all 1e dis2ualified from receiving any additional financial assistance offered under t$e programs. Application Procedures
>9>

T$e follo ing items must 1e su1mitted it$ t$e application $en applying to t$e 'PU(T= a. Application form )see Attac$ment %*. 1. Ene p$otocopy of diploma it$ verification 1y t$e "EC +Tai$an, Em-ass in t$e country of t$e issuing $ig$ sc$ool )/nglis$ or C$inese verified copy is also necessary if t$e original diploma is not in eit$er language*. c. Ene official transcript it$ verification 1y t$e "EC +Tai$an, Em-ass in t$e country of t$e issuing $ig$ sc$ool )/nglis$ or C$inese verified copy is also necessary if t$e original diploma is not in eit$er language*. d. !edical report it$in 9 mont$s4 $ic$ must include test for 7IV as re2uired 1y t$e Department of 7ealt$. e. T$ree recommendation letters. Please indicate t$e affiliations of t$ose $o ma?e t$e recommendations. f. Ene auto1iograp$y. g. Ene study plan $ic$ includes4 1ut is not limited to4 t$e follo ing= Title >> Delineating t$e researc$ area to 1e conducted. Introduction >> (tating t$e results of literature revie s as ell as stating student<s 1ac?ground4 personal interest4 strengt$s and ea?nesses4 if any E1Bective >> (tating specifically t$e purpose of t$is researc$. Action plans >> (pecifying t$e supportive researc$ activities to 1e carried out to accomplis$ t$e o1Bective as specified a1ove Anticipated results >> (tating t$e results t$at can 1e anticipated in conducting t$e action plans listed a1ove $. /vidence of /nglis$ proficiency >> if applicants are from countries $ere /nglis$ is not t$e native language. Notification of Admission and .egistration )%* After 1eing revie ed and selected 1y t$e Foreign (tudent Application /valuation Committee4 names of t$e candidates ill 1e recommended to t$e President of 'PU(T for final approval. )&* After 1eing notified of admission4 students must complete registration procedures it$in t$e specified time. Fate registration ill not 1e accepted. )9* If information found to 1e untrue or falsified4 said student s$all 1e denied of admission. ),* After registration4 students must provide an original diploma. /nglis$ translation must accompany t$e original diploma4 s$ould it not 1e ritten in /nglis$. Scope of Scholarship /ntitlements= T$e total sc$olars$ip4 including airfare )a one> ay tic?et eac$ for
>,>

t$e %st year 1efore t$e registration and t$e ,t$ year after t$e completion of t$e 1accalaureate programs*4 $ousing4 tuition4 insurance4 1oo? costs and a mont$ly allo ance ill 1e provided to eac$ student. T$e sc$olars$ip is itemiCed as follo s= )%* Airfare >> Tai anICDF s$all provide economy class tic?ets on t$e most direct flig$ts to Tai an )1efore t$e registration for t$e first semester* and leave Tai an )after t$e completion of t$e 1accalaureate degree*. )&* 7ousing >> All students must reside in t$e student dormitory provided 1y t$e 'PU(T. Four undergraduate students of t$e same se0 ill 1e assigned to live in t$e same room. E1servation of dormitory rules is a must. )9* Tuition fee >> Tuition fee ill 1e paid for 1y t$e sc$olars$ip as re2uired 1y t$e 'PU(T. ),* Insurance >> J$ile in Tai an4 in addition to t$e mandatory student safety insurance as set 1y t$e !inistry of /ducation4 eac$ student s$all 1e insured for medical coverage of accident and necessary $ealt$ care insurance )c$ronic illness is not including*. T$e insurance fees ill 1e paid for 1y t$e sc$olars$ip. )6* Hoo? costs >> Purc$asing te0t1oo?s as re2uired 1y instructors s$all 1e su1Bect to t$e approval of t$e Director of t$e TAIC. )8* Allo ance >> /ac$ student s$all receive 'TK%&4;;; per mont$ )or 'TK%,,4;;; per annum* as allo ance for food and miscellaneous living e0penses. T$e sum ill 1e deposited mont$ly into t$e student#s local 1an? account. Notices )%* Undergraduate students must complete a minimum of %9; credits in t$e course of study for plant production and animal production. T$ese credits include t$ose designated as re2uired and optional credits. )&* Undergraduate students program is graded on a scale of %;; 1eing t$e $ig$est and 8; 1eing t$e passing grade. "e2uired courses4 if failed4 must 1e repeated. A student4 $o fails t o t$ird of t$e accumulation su1Bect credits in one semester despite for any & semester academically4 s$all 1e dismissed. )9* (tudent#s et$ic is graded on a scale of %;; 1eing t$e $ig$est and 8; 1eing t$e passing grade. ),* If sc$olars$ip $olders= a* Fail t$e academic average in any one semester4 $ic$ is 8; out of %;; for undergraduates@ in $ic$ case4 full sc$olars$ip ill 1e suspended during t$e follo ing semester. ($ould t$e academic average 1e ac$ieved during t$is ne0t semester4 t$e Tai anICDF ill continue t$e sc$olars$ip 1y re2uest@ or 1* Fail more t$an %L& of all modules t$at t$ey elect to study4 across t o consecutive semesters@ or more t$an &L9 of all modules t$at t$ey elect to study4 in any one semester. In t$is case4 t$e full sc$olars$ip ill 1e terminated.
>6>

c* 7ave t$eir sc$olars$ip suspended or terminated4 t$e student status ill depend upon t$e regulation set 1y t$e university. )6* (tudents $o are under t$e sc$olars$ip program re2uesting a temporary leave of a1sence from t$e university on a personal 1asis s$all 1e terminated t$eir rig$ts to t$e sc$olars$ip. )8* For any reason an undergraduate student cannot attend classes or participate in ot$er re2uired activities4 aut$oriCed leave of a1sence must 1e re2uested according to t$e university#s regulations. ):* (tudents are re2uired to or? as student $elps at t$e office of TAIC. T$e nature and t$e num1er of $ours of t$e or? s$all 1e determined 1y t$e Director of TAIC. /thers In t$e event of t$e issues or matters not mentioned in t$e preceding articles4 relevant rules and regulations of t$e present program as ell as t$ose of t$e !inistry of /ducation4 Tai an and t$e 'PU(T s$all apply. I0# Application Deadline Application Deadline! April 1&2 3&4& 0# Contact Information Application forms and relevant materials must 1e for$arded - the ./C +Tai$an, Em-ass to t$e follo ing address= 'ational Pingtung University of (cience and Tec$nology Department of Tropical Agriculture and International Cooperation 'o. %4 ($ue$fu "d.4 'eipu4 Pingtung +%&4 Tai an T/F338>3>::,;&6,@ FAM338>3>::,;,,8@ />!ailitaicNmail.npust.edu.t 0I# Application *orm 5 Tai$anICD* 6edical .eport (ee Attac$ment %.

>8>

6aster7s Program in Tropical Agriculture

I# Introduction of Program T$e curriculum is grouped into t$ree maBor categories= Tropical Agricultural "esource Planning@ Production and !anagement of Tropical Agricultural "esources@ and Conservation and UtiliCation of Tropical Agriculture "esources. Agronomy4 7orticulture4 Plant Protection4 "ural Planning4 Veterinary !edicine4 Animal (cience4 Forestry4 Jood Industry4 A2uaculture4 Food (cience4 Agri1usiness !anagement and Jildlife Conservation are t$e focus areas. /0cept for re2uired courses4 t$e selective courses ill 1e tailor>made upon t$e re2uest of maBor professor)s* on specific topics for t$e student. A minimum of &, credits in t$e courses and 8 credits in master#s t$esis must 1e completed. II# )ualification Applicants $o $ave completed $isL$er 1ac$elor#s degree in agriculture or related fields at pu1lic or registered private universities and independent colleges4 or foreign universities and colleges approved 1y t$e "EC )Tai an* !inistry of /ducation. Applicants from countries $ere /nglis$ is not t$e native language are re2uired to ta?e t$e TE/FF or e2uivalent /nglis$>proficiency verifications. III# Admission Source of *unding for the Scholarship Program T$e sc$olars$ip programs4 funded 1y t$e International Cooperation and Development Fund )Tai anICDF*4 provide t o>year sc$olars$ip to foreign agriculturists for studying under t$e !.(. program from (eptem1er &;%; t$roug$ 5uly &;%&. If a sc$olars$ip recipient registers later t$an (eptem1er &;%; or graduates earlier t$an 5uly &;%&4 t$e sc$olars$ip s$all 1e provided on t$e 1asis of t$e actual date of registration or graduation. Program Duration It is a policy t$at t$e duration for t$e !.(. program is from (eptem1er &;%; to 5uly &;%&. (tudents4 $o $ave successfully completed and passed all courses and oral e0am for t$esis it$in t$e stipulated time period4 s$all receive t$e G!aster of (cienceI degree from t$e Department of Tropical Agriculture and International Cooperation4 College of Agriculture 1y 'PU(T. Application Procedures
>:>

T$e follo ing items must 1e su1mitted it$ t$e application $en applying to t$e 'PU(T= a. Application form )see Attac$ment %*. 1. Ene p$otocopy of diploma it$ verification 1y t$e "EC +Tai$an, Em-ass in t$e country of t$e issuing university )/nglis$ or C$inese verified copy is also necessary if t$e original diploma is not in eit$er language*. c. Ene official transcript it$ verification 1y t$e "EC +Tai$an, Em-ass in t$e country of t$e issuing university )/nglis$ or C$inese verified copy is also necessary if t$e original diploma is not in eit$er language*. d. !edical report it$in 9 mont$s4 $ic$ must include test for 7IV as re2uired 1y t$e Department of 7ealt$. e. T$ree recommendation letters. Please indicate t$e affiliations of t$ose $o ma?e t$e recommendations. f. Ene auto1iograp$y. g. Ene researc$ plan $ic$ includes4 1ut is not limited to4 t$e follo ing= Title >> Delineating t$e researc$ area to 1e conducted. Introduction >> (tating t$e results of literature revie s as ell as stating student<s 1ac?ground4 personal interest4 strengt$s and ea?nesses4 if any. E1Bective >> (tating specifically t$e purpose of t$is researc$. Action plans >> (pecifying t$e supportive researc$ activities to 1e carried out to accomplis$ t$e o1Bective as specified a1ove. Anticipated results >> (tating t$e results t$at can 1e anticipated in conducting t$e action plans listed a1ove. "eferences >> Fisting pertinent references4 if any. $. /vidence of /nglis$ proficiency >> if applicants are from countries $ere /nglis$ is not t$e native language. No application $ith missing articles or incomplete forms $ill -e accepted - the NPUST# No late su-mission or an ma8e-up action for the deficienc in the application $ill -e accepted# Notification of Admission and .egistration )%* After 1eing revie ed and selected 1y t$e Foreign (tudent Application /valuation Committee4 names of t$e candidates ill 1e recommended to t$e President of 'PU(T for final approval. )&* After 1eing notified of admission4 students must complete registration procedures it$in t$e specified time. Fate registration ill not 1e accepted. )9* If information found to 1e untrue or falsified4 said student s$all 1e denied of admission. ),* After registration4 students must provide an original diploma. /nglis$ translation
>3>

must accompany t$e original diploma4 s$ould it not 1e ritten in /nglis$. Scope of Scholarship )%* /ntitlements= T$e total sc$olars$ip4 including airfare )a one> ay tic?et per annum*4 $ousing4 tuition4 credit fees4 insurance4 1oo? costs and a mont$ly allo ance ill 1e provided to eac$ student. T$e sc$olars$ip is itemiCed as follo s= a. Airfare >> T$e Tai anICDF s$all provide economy class tic?ets on t$e most direct flig$ts to Tai an and leave Tai an )after t$e completion of t$e !.(. degree*. 1. 7ousing >> All students must reside in t$e graduate student dormitory provided 1y 'PU(T. c. Tuition fee >> Tuition fee ill 1e paid for 1y t$e sc$olars$ip as re2uired 1y t$e 'PU(T. d. Credit fees >> Credit fees are varied it$ t$e num1er of credits registered. Credit fees ill 1e paid for 1y t$e sc$olars$ip as re2uired 1y 'PU(T. e. Insurance >> J$ile in Tai an4 in addition to t$e mandatory student safety insurance as set 1y t$e !inistry of /ducation4 eac$ student s$all 1e insured for medical coverage of accident and necessary $ealt$ care insurance )c$ronic illness is not including*. T$e insurance fees ill 1e paid for 1y t$e sc$olars$ip. f. Hoo? costs >> Purc$asing te0t1oo?s as re2uired 1y instructors s$all 1e su1Bect to t$e approval of t$e Director of t$e TAIC. g. Allo ance >> /ac$ student s$all receive 'TK%64;;; per mont$ )or 'TK%3;4;;; per annum* as allo ance for food and miscellaneous living e0penses. T$e sum ill 1e deposited mont$ly into t$e student#s local 1an? account. Notices )%* !.(. Program students s$all not ta?e more t$an %6 credits per semester. )&* !.(. program students must complete a minimum of &, credits in courses and 8 credits in t$esis4 $ic$ are calculated separately. )9* Araduate students under !.(. program are graded on a scale of %;; 1eing t$e $ig$est and :; 1eing t$e passing grade. "e2uired courses4 if failed4 must 1e repeated. A student4 $o fails academically4 Budging from t$e averaged score for all t$e courses ta?en in a sc$ool year4 s$all 1e dismissed. ),* (tudent#s et$ic is graded on a scale of %;; 1eing t$e $ig$est and :; 1eing t$e passing grade. Anyone receives less t$an :; s$all 1e dismissed. )6* If sc$olars$ip $olders= a* Fail t$e academic average in any one semester4 $ic$ is :; out of %;; for postgraduates@ in $ic$ case4 full sc$olars$ip ill 1e suspended during t$e
>+>

follo ing semester. ($ould t$e academic average 1e ac$ieved during t$is ne0t semester4 t$e Tai anICDF ill continue t$e sc$olars$ip 1y re2uest@ or 1* Fail more t$an %L& of all modules t$at t$ey elect to study4 across t o consecutive semesters@ or more t$an &L9 of all modules t$at t$ey elect to study4 in any one semester. In t$is case4 t$e full sc$olars$ip ill 1e terminated. c* 7ave t$eir sc$olars$ip suspended or terminated4 t$e student status ill depend upon t$e regulation set 1y t$e university. )8* For any reason an !.(. student cannot attend classes or participate in ot$er re2uired activities4 aut$oriCed leave of a1sence must 1e re2uested according to t$e university regulations. ):* T o or four graduate students of t$e same se0 ill 1e assigned to live in t$e same dormitory room. E1servation of dormitory rules is a must. )3* (tudents are re2uired to or? as student $elps at t$e office of TAIC. T$e nature and t$e num1er of $ours of t$e or? s$ould 1e determined 1y t$e Director of TAIC. /thers In t$e event of t$e issues or matters not mentioned in t$e preceding articles4 relevant rules and regulations of t$e present program as ell as t$ose of t$e !inistry of /ducation4 Tai an and t$e 'PU(T s$all apply. I0# Application Deadline Application Deadline! April 1&2 3&4& 0# Contact Information Application forms and relevant materials must 1e for arded 1y t$e "EC )Tai an* /m1assy to t$e follo ing address= 'ational Pingtung University of (cience and Tec$nology Department of Tropical Agriculture and International Cooperation 'o. %4 ($ue$fu "d.4 'eipu4 Pingtung +%&4 Tai an T/F338>3>::,;&6,@ FAM338>3>::,;,,8@ />!ailitaicNmail.npust.edu.t 0I# Application *orm 5 Tai$anICD* 6edical .eport (ee Attac$ment %.

> %; >

Ph#D# Program in Tropical Agriculture

I# Introduction of Program T$e curriculum is grouped into t$ree maBor categories= Tropical Agricultural "esource Planning@ Production and !anagement of Tropical Agricultural "esources@ and Conservation and UtiliCation of Tropical Agriculture "esources. Agronomy4 7orticulture4 Plant Protection4 "ural Planning4 Veterinary !edicine4 Animal (cience4 Forestry4 Jood Industry4 A2uaculture4 Food (cience4 Agri1usiness !anagement and Jildlife Conservation are t$e focus areas. /0cept for re2uired courses4 t$e selective courses ill 1e tailor>made upon t$e re2uest of maBor professor)s* on specific topics for t$e student. A minimum of %3 credits in t$e courses and %& credits in P$.D. dissertation must 1e completed. II# )ualification Applicants $o $ave completed $isL$er master#s degree in agriculture or related fields at pu1lic or registered private universities and independent colleges4 or foreign universities and colleges approved 1y t$e "EC )Tai an* !inistry of /ducation. Applicants from countries $ere /nglis$ is not t$e native language are re2uired to ta?e t$e TE/FF or e2uivalent /nglis$>proficiency verifications. III# Admission Source of *unding for the Scholarship Program T$e sc$olars$ip programs4 funded 1y t$e International Cooperation and Development Fund )Tai anICDF*4 provide t$ree>year sc$olars$ip to foreign agriculturists for studying under t$e P$.D. program from (eptem1er &;%; t$roug$ 5uly &;%9. If a sc$olars$ip recipient registers later t$an (eptem1er &;%;4 t$e sc$olars$ip s$all 1e provided on t$e 1asis of t$e actual date of registration. Program Duration It is a policy t$at t$e duration for t$e P$.D. program is from (eptem1er &;%; to 5uly &;%9. (tudents4 $o $ave successfully completed and passed4 and $ave passed oral e0am for dissertation s$all receive t$e GDoctor of P$ilosop$yI degree from t$e Department of Tropical Agriculture and International Cooperation4 College of Agriculture 1y 'PU(T. Application Procedures T$e follo ing items must 1e su1mitted 'PU(T=
> %% >

it$ t$e application

$en applying to t$e

a. Application form )see Attac$ment %*. 1. Ene p$otocopy of diploma it$ verification 1y t$e "EC +Tai$an, Em-ass in t$e country of t$e issuing university )/nglis$ or C$inese verified copy is also necessary if t$e original diploma is not in eit$er language*. c. Ene official transcript it$ verification 1y t$e "EC +Tai$an, Em-ass in t$e country of t$e issuing university )/nglis$ or C$inese verified copy is also necessary if t$e original diploma is not in eit$er language*. d. !edical report it$in 9 mont$s4 1y t$e Department of 7ealt$. $ic$ must include test for 7IV as re2uired $o

e. T$ree recommendation letters. Please indicate t$e affiliations of t$ose ma?e t$e recommendations. f. Ene auto1iograp$y. g. Ene researc$ plan $ic$ includes4 1ut is not limited to4 t$e follo ing= Title >> Delineating t$e researc$ area to 1e conducted.

Introduction >> (tating t$e results of literature revie s as ell as stating student<s 1ac?ground4 personal interest4 strengt$s and ea?nesses4 if any E1Bective >> (tating specifically t$e purpose of t$is researc$. Action plans >> (pecifying t$e supportive researc$ activities to 1e carried out to accomplis$ t$e o1Bective as specified a1ove Anticipated results >> (tating t$e results t$at can 1e anticipated in conducting t$e action plans listed a1ove "eferences >> Fisting pertinent references4 if any $ere

$. /vidence of /nglis$ proficiency >> if applicants are from countries /nglis$ is not t$e native language.

No application $ith missing articles or incomplete forms $ill -e accepted - the NPUST# No late su-mission or an ma8e-up action for the deficienc in the application $ill -e accepted# Notification of Admission and .egistration )%* After 1eing revie ed and selected 1y t$e Foreign (tudent Application /valuation Committee4 names of t$e candidates ill 1e recommended to t$e President of 'PU(T for final approval. )&* After 1eing notified of admission4 students must complete registration procedures it$in t$e specified time. Fate registration ill not 1e accepted. )9* If information found to 1e untrue or falsified4 said student s$all 1e denied of admission.
> %& >

),* After registration4 students must provide an original diploma. /nglis$ translation must accompany t$e original diploma4 s$ould it not 1e ritten in /nglis$. )%* Scope of Scholarship /ntitlements= T$e total sc$olars$ip4 including airfare )a one> ay tic?et per annum*4 $ousing4 tuition4 credit fees4 insurance4 1oo? costs and a mont$ly allo ance ill 1e provided to eac$ student. T$e sc$olars$ip is itemiCed as follo s=

a. Airfare >> T$e Tai anICDF s$all provide economy class tic?ets on t$e most direct flig$ts to Tai an and leave Tai an )after t$e completion of t$e P$.D. degree*. 1. 7ousing >> All students must reside in t$e graduate student dormitory provided 1y 'PU(T. c. Tuition fee >> Tuition fee 'PU(T. ill 1e paid for 1y t$e sc$olars$ip as re2uired 1y

d. Credit fees >> Credit fees are varied it$ t$e num1er of credits registered. Credit fees ill 1e paid for 1y t$e sc$olars$ip as re2uired 1y 'PU(T. e. Insurance >> J$ile in Tai an4 in addition to t$e mandatory student safety insurance as set 1y t$e !inistry of /ducation4 eac$ student s$all 1e insured for medical coverage of accident and necessary $ealt$ care insurance )c$ronic illness is not including*. T$e insurance fees ill 1e paid for 1y t$e sc$olars$ip. f. Hoo? costs >> Purc$asing te0t1oo?s as re2uired 1y instructors s$all 1e su1Bect to t$e approval of t$e Director of t$e TAIC. g. Allo ance >> /ac$ student s$all receive 'TK%:4;;; per mont$ )or 'TK&;,4;;; per annum* as allo ance for food and miscellaneous living e0penses. T$e sum ill 1e deposited mont$ly into t$e student#s local 1an? account. Notices )%* P$.D. Program students s$all not ta?e more t$an %6 credits per semester. )&* P$.D. program students must complete a minimum of %3 credits in courses and %& credits in dissertation4 $ic$ are calculated separately. )9* Araduate students under P$.D. program are graded on a scale of %;; 1eing t$e $ig$est and :; 1eing t$e passing grade. "e2uired courses4 if failed4 must 1e repeated. A student4 $o fails academically4 Budging from t$e averaged score for all t$e courses ta?en in a sc$ool year4 s$all 1e dismissed. ),* (tudent#s et$ic is graded on a scale of %;; 1eing t$e $ig$est and :; 1eing t$e passing grade. Anyone receives less t$an :; s$all 1e dismissed.
> %9 >

)6* If sc$olars$ip $olders= a* Fail t$e academic average in any one semester4 $ic$ is :; out of %;; for postgraduates@ in $ic$ case4 full sc$olars$ip ill 1e suspended during t$e follo ing semester. ($ould t$e academic average 1e ac$ieved during t$is ne0t semester4 t$e Tai anICDF ill continue t$e sc$olars$ip 1y re2uest@ or 1* Fail more t$an %L& of all modules t$at t$ey elect to study4 across t o consecutive semesters@ or more t$an &L9 of all modules t$at t$ey elect to study4 in any one semester. In t$is case4 t$e full sc$olars$ip ill 1e terminated. c* 7ave t$eir sc$olars$ip suspended or terminated4 t$e student status ill depend upon t$e regulation set 1y t$e university. )8* For any reason an P$.D. student cannot attend classes or participate in ot$er re2uired activities4 aut$oriCed leave of a1sence must 1e re2uested according to t$e university regulations. ):* T o or four graduate students of t$e same se0 ill 1e assigned to live in t$e same dormitory room. E1servation of dormitory rules is a must. )3* (tudents are re2uired to or? as student $elps at t$e office of TAIC. T$e nature and t$e num1er of $ours of t$e or? s$all 1e determined 1y t$e Director of TAIC. /thers In t$e event of t$e issues or matters not mentioned in t$e preceding articles4 relevant rules and regulations of t$e present program as ell as t$ose of t$e !inistry of /ducation4 Tai an and t$e 'PU(T s$all apply. I0# Application Deadline Application Deadline! April 1&2 3&4& 0# Contact Information Application forms and relevant materials must 1e for$arded - the ./C +Tai$an, Em-ass to t$e follo ing address= 'ational Pingtung University of (cience and Tec$nology Department of Tropical Agriculture and International Cooperation 'o. %4 ($ue$fu "d.4 'eipu4 Pingtung +%&4 Tai an T/F338>3>::,;&6,@ FAM338>3>::,;,,8@ />!ailitaicNmail.npust.edu.t 0I# Application *orm 5 Tai$anICD* 6edical .eport (ee Attac$ment %.
> %, >

Attachment 4

APP'ICATI/N */.6
P./9ECT TIT'E Tai$anICD* International Higher Education Scholarship

Instructions -- Programs on Tropical Agriculture

T$is form s$ould 1e completed in type ritten form 1y t$e candidate. /ac$ 2uestion must 1e ans ered clearly and completely. Details are re2uired in order to ma?e appropriate arrangements. If necessary4 additional pages of t$e same siCe may 1e attac$ed.

6ar8 the appropriate scholarship program listed as follo$s! Undergraduate Program in Tropical Agriculture 6aster7s Program in Tropical Agriculture Ph#D# Program in Tropical Agriculture 4# PE.S/NA' DATA %.'ame
Dr.L!r.L!rs.L!iss Attac$ "ecent P$otograp$ 7ere

Aiven 'ameFirst 'ame

!iddle 'ame

&.Contact Information 7ome Address

Tel

Fa0

9.'ationality ,.Aender 8.Date of Hirt$ :."eligion 3.7ealt$ Condition +.C$ronic Disease %;.Dietary "estriction %%.Fanguage Proficiency
/0cellent Aood Fair /0cellent Aood Fair /0cellent Aood Fair /0cellent Aood Fair

O!aleOFemale
)Day!ont$Pear*=

6.!arital (tatus

O(ingle

O!arried

O'o OPes O'o OPes

Fisten

If yes4 Please specify If yes4 Please specify

"ead

Jrite

(pea?

> %6 >

%&.Contact Person in /mergency

'ame "elations$ip Address Tel />mail

3# P.ESENT E6P'/:6ENT
!ont$ year

%. Designation &.Institute L ErganiCation 9. Type of Husiness ,.Address

Tel Fa0

(ince

6.Type of t$e ErganiCation

OAovt. !inistry L Agency OAovt. L (tate E O5oint Venture O'AE

ned /nterprise

OUniversity L Institution OFocally E

ned /nterprise

OForeign E

ned /nterprise

8.

Present 5o1 Duties 1# P.E0I/US ;/.<IN= E>PE.IENCE 'oteFor /ac$ Pervious 5o1 /0perience
Period Ef /mployment 5o1 Duties

Designation

ErganiCation

%. &. 9.

> %8 >

?# EDUCATI/N AND T.AININ=

(c$ool 'ame (u1Bect

'ote7ig$est Diploma Enly

Qualifications )Certificate L Diploma L Degree* Pear E1tained

%. &.

> %: >

@# .EC/66ENDATI/N /* AUTH/.IT: Comments on educational 2ualifications4 e0perience in t$e training su1Bect4 age4 and personality of t$e candidate=

> %3 >

A#DEC'A.ATI/N B: CANDIDATE 4# I $ere1y declare t$at t$e information as provided 1y me in t$is document is true and accurate. I understand and accept t$at any false declaration of information on my part ill dis2ualify me from t$e program4 even $en it is in progress. 3# I declare t$at I am not suffering from any serious or c$ronic disease and t$at I am not $indered in t$e performance of my duties 1y any illness or disa1ility= 1# I $ere1y underta?e to a1ide 1y t$e la s of t$e "epu1lic of C$ina during my stay in Tai an and underta?e to do t$e follo ing= %.% Fulfill due performance as re2uired in attendance. %.& 'ot see? employment or engage in any political activities. %.9 Hear any additional e0penses or ris?s incurred as a result of any c$anges initiated 1y myself. %., 'ot 1ring it$ me any family mem1ers or friends. ?# I fully agree t$at t$e Tai anICDF $as t$e rig$t to terminate t$e sc$olars$ip if4 during my stay in Tai an4 my 1e$avior causes any difficulties for t$e management of t$e Tai anICDF or t$e training institution. @# I understand t$at during my stay in Tai an4 only t$ose matters related to t$e training program ill 1e settled in accordance it$ t$e CA/DF>Tai anese L 'PU(T#s rules and regulations4 and t$at t$e CA/DF>Tai anese L 'PU(T#s decision ill 1e final and ill 1e implemented accordingly. Cases irrelevant to t$e training program s$all 1e ot$er ise of my o n responsi1ilities and at my o n cost. (ignature=QQQQQQQQQQQQQQQQQQQQQQQ Date=QQQQQQQQQQQQQQQQQQQ 'ame=QQQQQQQQQQQQQQQQQQQQQQQ

> %+ >

C# APP'ICATI/N */. AD6ISSI/N To t$e Applicant= Please complete t$e form pages of t$e same siCe may 1e attac$ed. 4# *ull Name 3# Nationalit 1# 6aDor su-Dect planned to stud at the NPUST it$ legi1le prints. If necessary4 additional

?# E(tra-curricular activities

@# Pu-lications A# Attach an auto-iograph C# Attach a research or stud plan %# Attach three recommendation letters

Applicant7s signature Date of Application

> &; >

%# STUD: P'AN To the Applicant! The stud plan should content the follo$ing items in details# Please use additional pages of the same siEe to attach the conte(t#

4# Title 3# Introduction 1# /-Dective ?# Action plans @# Anticipated results A# .eferences

> &% >

International Cooperation and Development *und

MEDICAL REPORT
&OR International Higher Education Scholarship Programs 3&4&
PART 1: PART ,: H(A-TH D(C-ARATION '(DICA- (+A'INATION &OR'

Applying for: National Pingtung University of Science and Technology (NPUST) Undergraduate Program in Tropical Agriculture

INSTRUCTION PART 1:Personal Details and Health Declaration to e completed ! the applicant
I here ! certi"! that the "ollo#ing in"ormation is true and complete$ and agree that an! misrepresentation or deli erate omission o" a material "act on this "orm ma! result in the #ithdra#al o" an o""er o" a place or scholarship$ or ma! result in the termination o" an! such o""er at a "uture date% I here ! grant the Tai#anICD& permission to share in"ormation contained in m! 'edical ()amination &orm #ith rele*ant authorities%

+ (ignature Date PART ,:'edical ()amination to e completed ! certi"ied ph!sician

Page 1 of 4

National Pingtung University of Science and Technology (NPUST) reserves the right to require the applicant to undergo a future medical e amination after he!she arrives in the "epu#lic of $hina (Tai%an)&

Page 1 of 4

'pplying for( Undergraduate Program in Tropical 'griculture) NPUST

PART 1: Nationality: Name: )Last*

HEALTH DECLARATION

PHOTO

)First* )M. Initial* Gender: Male Female Date of Birth: PL !L DL

Health Hi tory: Ha*e !ou e*er su""ered an! o" the "ollo#ing conditions. Please mar/ + in appropriate o) Psyc$iatric illness /pilepsy !igraine Ast$ma Tu1erculosis )PTH* 7ypertension )7PT* Dia1etes !ellitus )D!* 7eart Diseases !alaria Yes No T$yroid Diseases .idney Diseases Cancer 7IVLAID( Venereal Diseases Feu?emia 7emop$ilia 7epatitis 'easles 0erman 'easles 1ru ella2 Yes No

Plea e !tate 1i" an!2 Other illnesses 333333333333333333333333333333333333333% Operation 4 Surgical 333333333333333333333333333333333333333% Allergic to 333333333333333333333333333333333333333% "amily Medi#al Hi tory 1i" an!2 &ather:33333333333333333 'other: 33333333333333333 Pa t $ear Life: Please select

Page * of 4

'pplying for( Undergraduate Program in Tropical 'griculture) NPUST

%. (leep= :R3 $ours every day Under :R 3 $ours Eften suffer from insomnia &. If t$at is 1asic to e0ercise eac$ time for 9; minutes and 9 times every ee? at least4 did you ac$ieveS 'o Pes ,. Do you often feel an0ious and orriedS Fe or not (ometimes Eften 6. Do you often feel t$e c$est is stuffyS 'o (ometimes Pes 8. (tomac$>ac$eS 'o (ometimes Eften@. 7eadac$eS 'o (ometimes Eften :. T$e menarc$e )girl only*= )%* T$e age of t$e menarc$e= QQQQQQyears>old )&* Is menstrual cycle regularS 'o Pes)Date of partition QQQQQQday* )9* Do you ever $ave menstrual cramp p$enomenon 'o Pes

Page * of 4

'pplying for( Undergraduate Program in Tropical 'griculture) NPUST

PART %:

MEDICAL E&AMINATION

Physician must complete all questions and give additional comment where necessary. Kindly note that physician is responsible for the information, suggestions and recommendation regarding the applicants health given in this form. Certified original lab data need to be attached as reference.

Name of A''li#ant: PL !L DL

Date of Birth

Phy i#al E(amination: 7/IA7T HFEED P"/((U"/ VI(UAF ACUITP "

L F

cm mm7g

J/IA7T PUF(/ "AT/

?g Lmin

EYESnormalcolor anomalousother EAR/NOSE/THROATnormalauditory meatus abnormalcle"t lip and palate

impending in"arctionallergic rhinitischronic rhinitisother

NECKnormalwrynec goiterthe lym!hoid swelling o" gland is bigother CHESTnormalthoracic anomal!core noisearrhythmiasother CHEST # RAYnormalad$ertise "or li e the tuberculosis!leura e""usionthoracic
abnormality tu erculosis calci"!the spinal column side is cur*ed upcardiac h!pertroph! ronchiectasisother

A%&O'ENnormalhepatomegal!splenomegal!herniaother S()NA* CO*+'N AR'S AN& *E,Snormalscoliosis"rog limbarticulation de"ormity

edemaother

SK)Nnormalwart!ur!le !laguescabiesa dermatitisother 'O+TH CA-)TYnormaloral hygiene is !oor calculus gingi*itismil toothother )rine Te t: NA& .%C R%C(ROTE)N C*+COSE He'atiti B Te t:

Page + of 4

'pplying for( Undergraduate Program in Tropical 'griculture) NPUST

(OS)T)-E

NE,AT)-E

Page + of 4

'pplying for( Undergraduate Program in Tropical 'griculture) NPUST

!erolo*i#al Te t for !y'hili : (OS)T)-E HI+ Te t: (OS)T)-E NE,AT)-E NE,AT)-E

T,- ."/-NT'T/.N /NST/TUT/.N 0/11 "-2U/"- ' 3U"T,-" ,/4 T-ST '3T-" ,-!S,'""/4-S )N ROC /TA).AN01 THE ONE .)TH (OS)T)-E TEST RES+*T .)** %E RE2ECTE& AN& SENT %ACK HO'E )''E&)ATE*Y1

Pre*nan#y Te t: (OS)T)-E NE,AT)-E

Is the applicant no# under treatment "or an! ph!sical or emotional condition. 333333333333333333333333333333333333333 Do !ou ha*e an! recommendations "or the health care o" this applicant. 333333333333333333333333333333333333333 5! histor! and ph!sical e)amination$ is this applicant a carrier o" an! communica le disease. 333333333333333333333333333333333333333 CERTI"ICATION B$ THE MEDICAL O""ICER: I certi"! that I ha*e e)amined the a o*e applicant and in m! opinion: The applicant is medicall! "it to underta/e a program in Tai#an The applicant su""ers mental or ph!sical de"ects and is NOT in good health
Name Name Addre

of 'hy i#ian, Title of Ho 'ital - Clini#

!3333333333333333333 !3333333333333333333 !3333333333333333333 !3333333333333333333 !3333333333333333333

Not

.alid if /itho0t the ho 'ital or #lini#1

eal

Page 4 of 4

International Cooperation and Development *und

MEDICAL REPORT
&OR International Higher Education Scholarship Programs 3&4&
PART 1: PART ,: H(A-TH D(C-ARATION '(DICA- (+A'INATION &OR'

Applying for: National Pingtung University of Science and Technology (NPUST) Master s Program in Tropical Agriculture

INSTRUCTION PART 1:Personal Details and Health Declaration to e completed ! the applicant
I here ! certi"! that the "ollo#ing in"ormation is true and complete$ and agree that an! misrepresentation or deli erate omission o" a material "act on this "orm ma! result in the #ithdra#al o" an o""er o" a place or scholarship$ or ma! result in the termination o" an! such o""er at a "uture date% I here ! grant the Tai#anICD& permission to share in"ormation contained in m! 'edical ()amination &orm #ith rele*ant authorities%

+ (ignature Date PART ,:'edical ()amination to e completed ! certi"ied ph!sician

Page 1 of 4

National Pingtung University of Science and Technology (NPUST) reserves the right to require the applicant to undergo a future medical e amination after he!she arrives in the "epu#lic of $hina (Tai%an)&

Page * of 4

'pplying for( 5aster6s Program in Tropical 'griculture) NPUST

PART 1: Nationality: Name: )Last*

HEALTH DECLARATION

PHOTO

)First* )M. Initial* Gender: Male Female Date of Birth: PL !L DL

Health Hi tory: Ha*e !ou e*er su""ered an! o" the "ollo#ing conditions. Please mar/ + in appropriate o) Psyc$iatric illness /pilepsy !igraine Ast$ma Tu1erculosis )PTH* 7ypertension )7PT* Dia1etes !ellitus )D!* 7eart Diseases !alaria Yes No T$yroid Diseases .idney Diseases Cancer 7IVLAID( Venereal Diseases Feu?emia 7emop$ilia 7epatitis 'easles 0erman 'easles 1ru ella2 Yes No

Plea e !tate 1i" an!2 Other illnesses 333333333333333333333333333333333333333% Operation 4 Surgical 333333333333333333333333333333333333333% Allergic to 333333333333333333333333333333333333333% "amily Medi#al Hi tory 1i" an!2 &ather:33333333333333333 'other: 33333333333333333 Pa t $ear Life: Please select

Page * of 4

'pplying for( 5aster6s Program in Tropical 'griculture) NPUST

%. (leep= :R3 $ours every day Under :R 3 $ours Eften suffer from insomnia &. If t$at is 1asic to e0ercise eac$ time for 9; minutes and 9 times every ee? at least4 did you ac$ieveS 'o Pes ,. Do you often feel an0ious and orriedS Fe or not (ometimes Eften 6. Do you often feel t$e c$est is stuffyS 'o (ometimes Pes 8. (tomac$>ac$eS 'o (ometimes Eften@. 7eadac$eS 'o (ometimes Eften :. T$e menarc$e )girl only*= )%* T$e age of t$e menarc$e= QQQQQQyears>old )&* Is menstrual cycle regularS 'o Pes)Date of partition QQQQQQday* )9* Do you ever $ave menstrual cramp p$enomenon 'o Pes

Page * of 4

'pplying for( 5aster6s Program in Tropical 'griculture) NPUST

PART %:

MEDICAL E&AMINATION

Physician must complete all questions and give additional comment where necessary. Kindly note that physician is responsible for the information, suggestions and recommendation regarding the applicants health given in this form. Certified original lab data need to be attached as reference.

Name of A''li#ant: PL !L DL

Date of Birth

Phy i#al E(amination: 7/IA7T HFEED P"/((U"/ VI(UAF ACUITP "

L F

cm mm7g

J/IA7T PUF(/ "AT/

?g Lmin

EYESnormalcolor anomalousother EAR/NOSE/THROATnormalauditory meatus abnormalcle"t lip and palate

impending in"arctionallergic rhinitischronic rhinitisother

NECKnormalwrynec goiterthe lym!hoid swelling o" gland is bigother CHESTnormalthoracic anomal!core noisearrhythmiasother CHEST # RAYnormalad$ertise "or li e the tuberculosis!leura e""usionthoracic
abnormality tu erculosis calci"!the spinal column side is cur*ed upcardiac h!pertroph! ronchiectasisother

A%&O'ENnormalhepatomegal!splenomegal!herniaother S()NA* CO*+'N AR'S AN& *E,Snormalscoliosis"rog limbarticulation de"ormity

edemaother

SK)Nnormalwart!ur!le !laguescabiesa dermatitisother 'O+TH CA-)TYnormaloral hygiene is !oor calculus gingi*itismil toothother )rine Te t: NA& .%C R%C(ROTE)N C*+COSE He'atiti B Te t:

Page + of 4

'pplying for( 5aster6s Program in Tropical 'griculture) NPUST

(OS)T)-E

NE,AT)-E

Page + of 4

'pplying for( 5aster6s Program in Tropical 'griculture) NPUST

!erolo*i#al Te t for !y'hili : (OS)T)-E HI+ Te t: (OS)T)-E NE,AT)-E NE,AT)-E

T,- ."/-NT'T/.N /NST/TUT/.N 0/11 "-2U/"- ' 3U"T,-" ,/4 T-ST '3T-" ,-!S,'""/4-S )N ROC /TA).AN01 THE ONE .)TH (OS)T)-E TEST RES+*T .)** %E RE2ECTE& AN& SENT %ACK HO'E )''E&)ATE*Y1

Pre*nan#y Te t: (OS)T)-E NE,AT)-E

Is the applicant no# under treatment "or an! ph!sical or emotional condition. 333333333333333333333333333333333333333 Do !ou ha*e an! recommendations "or the health care o" this applicant. 333333333333333333333333333333333333333 5! histor! and ph!sical e)amination$ is this applicant a carrier o" an! communica le disease. 333333333333333333333333333333333333333 CERTI"ICATION B$ THE MEDICAL O""ICER: I certi"! that I ha*e e)amined the a o*e applicant and in m! opinion: The applicant is medicall! "it to underta/e a program in Tai#an The applicant su""ers mental or ph!sical de"ects and is NOT in good health
Name Name Addre

of 'hy i#ian, Title of Ho 'ital - Clini#

!3333333333333333333 !3333333333333333333 !3333333333333333333 !3333333333333333333 !3333333333333333333

Not

.alid if /itho0t the ho 'ital or #lini#1

eal

Page 4 of 4

International Cooperation and Development *und

MEDICAL REPORT
&OR International Higher Education Scholarship Programs 3&4&
PART 1: PART ,: H(A-TH D(C-ARATION '(DICA- (+A'INATION &OR'

Applying for: National Pingtung University of Science and Technology (NPUST) Ph!"! Program in Tropical Agriculture

INSTRUCTION PART 1:Personal Details and Health Declaration to e completed ! the applicant
I here ! certi"! that the "ollo#ing in"ormation is true and complete$ and agree that an! misrepresentation or deli erate omission o" a material "act on this "orm ma! result in the #ithdra#al o" an o""er o" a place or scholarship$ or ma! result in the termination o" an! such o""er at a "uture date% I here ! grant the Tai#anICD& permission to share in"ormation contained in m! 'edical ()amination &orm #ith rele*ant authorities%

+ (ignature Date PART ,:'edical ()amination to e completed ! certi"ied ph!sician

Page 1 of 4

National Pingtung University of Science and Technology (NPUST) reserves the right to require the applicant to undergo a future medical e amination after he!she arrives in the "epu#lic of $hina (Tai%an)&

Page * of 4

'pplying for( Ph&7& Program in Tropical 'griculture) NPUST

PART 1: Nationality: Name: )Last*

HEALTH DECLARATION

PHOTO

)First* )M. Initial* Gender: Male Female Date of Birth: PL !L DL

Health Hi tory: Ha*e !ou e*er su""ered an! o" the "ollo#ing conditions. Please mar/ + in appropriate o) Psyc$iatric illness /pilepsy !igraine Ast$ma Tu1erculosis )PTH* 7ypertension )7PT* Dia1etes !ellitus )D!* 7eart Diseases !alaria Yes No T$yroid Diseases .idney Diseases Cancer 7IVLAID( Venereal Diseases Feu?emia 7emop$ilia 7epatitis 'easles 0erman 'easles 1ru ella2 Yes No

Plea e !tate 1i" an!2 Other illnesses 333333333333333333333333333333333333333% Operation 4 Surgical 333333333333333333333333333333333333333% Allergic to 333333333333333333333333333333333333333% "amily Medi#al Hi tory 1i" an!2 &ather:33333333333333333 'other: 33333333333333333 Pa t $ear Life: Please select

Page * of 4

'pplying for( Ph&7& Program in Tropical 'griculture) NPUST

%. (leep= :R3 $ours every day Under :R 3 $ours Eften suffer from insomnia &. If t$at is 1asic to e0ercise eac$ time for 9; minutes and 9 times every ee? at least4 did you ac$ieveS 'o Pes ,. Do you often feel an0ious and orriedS Fe or not (ometimes Eften 6. Do you often feel t$e c$est is stuffyS 'o (ometimes Pes 8. (tomac$>ac$eS 'o (ometimes Eften@. 7eadac$eS 'o (ometimes Eften :. T$e menarc$e )girl only*= )%* T$e age of t$e menarc$e= QQQQQQyears>old )&* Is menstrual cycle regularS 'o Pes)Date of partition QQQQQQday* )9* Do you ever $ave menstrual cramp p$enomenon 'o Pes

Page * of 4

'pplying for( Ph&7& Program in Tropical 'griculture) NPUST

PART %:

MEDICAL E&AMINATION

Physician must complete all questions and give additional comment where necessary. Kindly note that physician is responsible for the information, suggestions and recommendation regarding the applicants health given in this form. Certified original lab data need to be attached as reference.

Name of A''li#ant: PL !L DL

Date of Birth

Phy i#al E(amination: 7/IA7T HFEED P"/((U"/ VI(UAF ACUITP "

L F

cm mm7g

J/IA7T PUF(/ "AT/

?g Lmin

EYESnormalcolor anomalousother EAR/NOSE/THROATnormalauditory meatus abnormalcle"t lip and palate

impending in"arctionallergic rhinitischronic rhinitisother

NECKnormalwrynec goiterthe lym!hoid swelling o" gland is bigother CHESTnormalthoracic anomal!core noisearrhythmiasother CHEST # RAYnormalad$ertise "or li e the tuberculosis!leura e""usionthoracic
abnormality tu erculosis calci"!the spinal column side is cur*ed upcardiac h!pertroph! ronchiectasisother

A%&O'ENnormalhepatomegal!splenomegal!herniaother S()NA* CO*+'N AR'S AN& *E,Snormalscoliosis"rog limbarticulation de"ormity

edemaother

SK)Nnormalwart!ur!le !laguescabiesa dermatitisother 'O+TH CA-)TYnormaloral hygiene is !oor calculus gingi*itismil toothother )rine Te t: NA& .%C R%C(ROTE)N C*+COSE He'atiti B Te t:

Page + of 4

'pplying for( Ph&7& Program in Tropical 'griculture) NPUST

(OS)T)-E

NE,AT)-E

Page + of 4

'pplying for( Ph&7& Program in Tropical 'griculture) NPUST

!erolo*i#al Te t for !y'hili : (OS)T)-E HI+ Te t: (OS)T)-E NE,AT)-E NE,AT)-E

T,- ."/-NT'T/.N /NST/TUT/.N 0/11 "-2U/"- ' 3U"T,-" ,/4 T-ST '3T-" ,-!S,'""/4-S )N ROC /TA).AN01 THE ONE .)TH (OS)T)-E TEST RES+*T .)** %E RE2ECTE& AN& SENT %ACK HO'E )''E&)ATE*Y1

Pre*nan#y Te t: (OS)T)-E NE,AT)-E

Is the applicant no# under treatment "or an! ph!sical or emotional condition. 333333333333333333333333333333333333333 Do !ou ha*e an! recommendations "or the health care o" this applicant. 333333333333333333333333333333333333333 5! histor! and ph!sical e)amination$ is this applicant a carrier o" an! communica le disease. 333333333333333333333333333333333333333 CERTI"ICATION B$ THE MEDICAL O""ICER: I certi"! that I ha*e e)amined the a o*e applicant and in m! opinion: The applicant is medicall! "it to underta/e a program in Tai#an The applicant su""ers mental or ph!sical de"ects and is NOT in good health
Name Name Addre

of 'hy i#ian, Title of Ho 'ital - Clini#

!3333333333333333333 !3333333333333333333 !3333333333333333333 !3333333333333333333 !3333333333333333333

Not

.alid if /itho0t the ho 'ital or #lini#1

eal

Page 4 of 4

Attac$ment &

Application Document Chec8list

#Please mar? GI in t$e space after confirming t$e "e2uired Documents. #Please put t$is c$ec?list in front of all ot$er "e2uired Documents. 6ar8 F G .eHuired Documents Completed application form P$otocopy of t$e $ig$est degree diploma verified it$ official stamps 1y t$e "EC )Tai an* /m1assy in t$e country of t$e issuing sc$ool Efficial transcript verified it$ official stamps 1y t$e "EC )Tai an* /m1assy in t$e country of t$e issuing sc$ool Tai anICDF !edical "eport it$in 9 mont$s T$ree recommendation letters Ene study planLproposal in /nglis$ !"#$% /vidence of /nglis$ proficiency4 e0cluding applicant $ose native language is /nglis$ Ene p$otocopy it$ personal information page of t$e passport Et$er documents related to t$e application