National Chiao Tung University Office of International Affairs 1001 University Road, Hsinchu 30010, Taiwan Tel: +886-3-571-2121 ext.50666 www.ia.nctu.edu.tw Fax: +886-3-513-1473 NCTU International Students Scholarships Application Form (Current Students) To apply for a scholarship for the coming year (starting September, 2015), please complete this form. A signed copy should be sent by fax/email (scanned)/in person by Friday, July 10th, 2015 to: Ms. Fei-Chin Chang Office of International Affairs (OIA) Tel:03-5712121 ext50666 Fax:03-5131473 E-mail: feichin@nctu.edu.tw For current scholarship recipients who do not send in the form by the deadline, the OIA would assume that there is no intention to renew the scholarship. Late applications will not be considered. The form is downloadable from the OIA website: www.ia.nctu.edu.tw. New Application □ Yes, I would like to apply for a scholarship for the next year. Renewal My scholarship period ends in August 2015, and □ Yes, I would like to apply for a scholarship next year. The award I receive now is □ NTD ___________ per month+ Tuition waiver □ Tuition waiver/reduction □ None You are advised to read through the scholarship regulation and comply with it to retain your qualification of application. Name (Please PRINT): Chinese Name: Student ID Number: Type of Program: □ Bachelor □ Master □ PhD Department/Institute: E-mail: Signature: TEL: Date (mm/dd/yy): Revised May 2015