國立中山大學National Sun Yat-sen University (NSYSU)



International Master’s Program in

Electric Power Engineering

(IMEPE)

2011~2013

National Sun Yat-sen University, Kaohsiung, Taiwan



Contents

Introduction of University

International Master’s Program in Electric Power Engineering

Ⅰ. Introduction of Program

Ⅱ. Qualification

Ⅲ. Admission　

Ⅳ. Application Deadline　

Ⅴ. Contact Information　

Ⅵ. Application Form& TaiwanICDF Medical Report

　

Introduction of University

History

In 1924, Dr. Sun Yat-sen, the Founding Father of the Republic of China, incorporated the National Higher Normal College, Kwangtung Provincial Law College, and Kwangtung Provincial Agricultural Technical School into the National Kwangtung University. He declared the school motto to be erudition, examination, contemplation, discernment, and implementation to encourage students and instructors on making unremitting effort to improve themselves.

After the demise of Dr. Sun, to commemorate his contribution and devotion to the nation, the University was renamed the National Sun Yat-sen University in 1926 and its campus site relocated in Shin-p'ai, Canton. After moving to Taiwan, because of the demand for higher education, the government re-established the university in Kaohsiung in 1980 and considered Dr. Sun's birthday (November 12) to be its anniversary. NSYSU has emerged over the years as one of the best comprehensive universities in the country. In 2002 NSYSU was named by the Ministry of Education as one of the country's seven major research-intensive universities. We are the leading national university in Southern Taiwan, and have set the benchmark for high standards in teaching, research, and internationalization. Our curriculum is well balanced to cover most disciplines in liberal arts, management, social sciences, engineering, science, and marine science. It is the common aim of our faculty and administrative team to provide a well-rounded and memorable educational experience for all our students, undergraduate or graduate.

With the dedication of previous and present university presidents, NSYSU continues to prosper and develop, and has become one of the top universities in Taiwan. It consists of six colleges, including the colleges of Liberal Arts, Science, Engineering, Management, Social Sciences, and Marine Sciences, with 20 undergraduate, 37 masters, and 27 doctoral programs. The enrollment has reached 9500 students and the number of full-time faculty members approximates 459.

Located alongside the Hsitzu Bay of Kaohsiung city, the campus leans east against the Longevity Hill, faces west to the Taiwan Strait, leads south to the port of Kaohsiung, and rests north on Mount Chai. With inspiration from the majestic sea all year round, students are awakened by their thirst for truth and advance their knowledge in the liberal ambiance.

Development Features

• Create a quality university based on integrated resources

• Establish a First Rate International Teaching and Research Campus

• Develop General Education with Diversified Comprehensive Curriculum

• Cultivate Society's Leaders

• Promote Social Interaction as Basis for NSYSU's Strategic Development

Vision

NSYSU is the leading international academic institution in Southern Taiwan.

Striving to become an internationalized research university

Through our solid curriculum, we hope to provide diverse and comprehensive higher education

Through research and development, we hope to pursue academic excellence combining theory and practice

Through extension services, we hope to become the source of lifelong learning and community outreach

Ⅰ. Introduction of Program

International Master’s Program in Electric Power Engineering

The Electrical Engineering Department at National Sun Yat-sen University provides students the capabilities to achieve rewarding careers in designing new products, conducting advanced research, and teaching at all levels of schools. The department has consistently ranked among five of the best EE programs in the nation, and offers all-level (bachelor, master, and Ph.D.) degrees in electrical engineering. With its overall best-averaged academic/research performance among all national research-intensive universities in Taiwan, the electric power related major in the EE department has attained international recognitions and competitions among the related professional societies. The objectives of launching the International Master’s Program in Electric Power Engineering (IMEPE) are:

• Assisting international students in developing advanced electric power engineering capacities

• Promoting professional exchanges among international experts in electric power engineering

• Enhancing the electric power engineering design and analytical capabilities of diplomatic allies

Based on their academic/professional backgrounds and research interests, the students enrolled in the IMEPE program can choose the following subjects as their research specialties during the study period:

Cogeneration Distribution Automation Dynamic Analyses

Electric Drives Energy Management System GIS

Machine System Designs MRT E & M Systems Power Electronics

Power Quality Power System Analysis Power System Stability

Smart Grid Special Protection System Renewable Energy Sources

Students have to complete a total of 24-credit course work (at least 12 must be received from the core courses), and a Master’s thesis in the field of electric power engineering for graduation. Students are required to submit and defend his/her thesis to a panel of 3-5 committee members. The topic of the thesis should be related to his/her research specialties and meet the industrial development needs of the student’s country.

The students will earn the “Master of Science (major in Electric Power Engineering)” degree from the Electrical Engineering Department after completing their studies.

Ⅱ. Qualification

International Master’s Program in Electric Power Engineering

a) Applicants must hold a bachelor’s degree (including students graduating before Aug.,2011) in fields related to electrical/electronics engineering at universities/colleges approved by the Taiwan Ministry of Education.

(b)Applicants from countries where English is not the native language, or who have completed their bachelor’s degree at a non-English speaking academic institution, are required to take the TOEFL or provide appropriate English-proficiency verification. TOEFL score iBT-TOEFL of 61 / CBT-TOEFL of 173/ Paper-based TOEFL of 500 / IELTS of 5.0.

(c)All materials must be forwarded by the ROC (Taiwan) Embassy / Representative Office or the Taiwan Technical Mission to the Office of International Affairs, National Sun Yat-sen University. Applicants who are admitted to the program MUST provide a diploma verified by the Taiwan Embassy/Representative Office to register at the university.

Ⅲ. Admission

International Master’s Program in Electric Power Engineering

Academic Year 2011-2013

1. Prospective Applicants

Prospective Applicants: Open to all graduates of Science, Engineering and/or related programs subject to the approval of the Admission Committee.

2. Limitations

The program is open to all nations but the followings are not included:

1) Applicants who have been granted Overseas Chinese Student status.

2) Applicants who have been expelled from other universities in Taiwan.

3) Applicants who are residents and/or citizens of Hong Kong, Macau, or The People’s Republic of China.

4) Applicants who have withdrawn their allegiance and citizenship from Taiwan. (However, this item can be overruled should the applicant have completed the 8-year prescriptive period of Ministry of the Interior from the date of the opening of classes.)

3. Screening Procedure and Application Requirements

1) Screening Procedure: The Admission Committee shall deliberate on the documents and material submitted by the applicants.

2) Application Requirements:

A. Two (2) copies of completed application forms.

B. Photocopy of a valid passport or Alien Resident Certificate or birth certificate.

C. Copies of Diploma and Transcript of Record:

a. Two (2) photocopies of diploma (should be authenticated by Taiwan representative office in the area where the university is located).

b. Two (2) photocopies of diploma translated in English/Chinese if the original copy is written in any other language.

c. Two (2) original copies of transcript of record (should be authenticated by Taiwan representative office in the area where the university is located and have them stamped and sealed by the university).

d. Two (2) copies of transcript of record translated in English/Chinese if the original copy is written in any other language.

e. Applicants who are admitted to the program MUST provide a diploma verified by the ROC (Taiwan) Embassy / Representative Office to register at the university if they do not provide one during the application procedure.

D. One (1) copy of medical certificate signed by a certified medical practitioner to include HIV Antibody Test conducted within 6 months from the application date.

E. Proof of the loss of nationality of Taiwan. According to the Article 2 of the Law of Nationality, overseas Chinese applicant should have lost the nationality of Taiwan for a prescriptive period of 8 years (Starting from the date of the approval from the Ministry of the Interior to the date of the registration of National Sun Yat-sen University).

F. Other Requirements:

a. English-proficiency Verification. Applicants who are not of English-speaking nationalities or who have completed their bachelor’s degree in a Non-English speaking academic institution are required to provide the TOEFL, GRE, or any other official document to verify his (her) English proficiency.

b. Study Plan. (Please refer to )

c. Two(2)Recommendation Letters duly sealed. (Please refer to )

d. Research output, thesis, publication or any material that can further support application.

e.TaiwanICDF Medical Report (including a HIV test).

(Please refer to )

4. Completion Requirements

Students enrolled in this program are required to complete all academic requirements within a period of two (2) years.

5. Academic Requirements

Students enrolled in this program are required to complete twenty-four (24) units of academic courses having three (3) units each. Four (4) of these courses shall be taken from the core courses specifically designed for this program. Students need to seek the advice of his faculty adviser to help him design his academic loading. With the approval of the program director, the remaining four (4) courses can be taken at the students’ liberty from any of the Engineering courses available. The eight (8) specifically designed courses for this program are:

1) Advanced Electric Machinery Theory

2) Finite Element Analysis of Electric Machinery Systems

3) Linear System Analysis

4) Load Flow Analysis

5) Optimal Control

6) Power Electronics Converter

7) Power Quality

8) Power System Operations

6. Thesis Requirement

A Master’s thesis in the field of electric power engineering is a strong requisite for graduation. Students enrolled in this program are required to submit and defend his/her thesis to a panel of 3-5 committee members. The topic of the thesis should be related to his/her specialties and meet the need of the industrial development of the student’s country.

7. Admission Results and Registration Date

1) The University shall announce the names of the short-listed applicants at the end of May. Admitted students will register in September.

2) An accepted applicant only needs to present his letter of admission to the ROC (Taiwan) Embassy / Representative Office in his country to process his visa. Admitted applicants who fail to report before the date stated in the admission letter shall likewise be removed from the roster.

3) The University shall be conducting a verification procedure to authenticate the documents forwarded for screening. Any applicant who has submitted falsified documents or could have rigged the application procedure shall be disqualified from the program.

4) Students are required to present the original copy of the diploma for verification while report to the University. Graduating students who do not receive the diploma at the time should present it upon registration. For those who fail to do so will result in disqualification from the program.

8. Medium of Instruction

All classes shall be conducted in English.

9. Visa Requirements

Please visit the nearest ROC (Taiwan) Embassy / Representative Office in your country or log on to or call +886-2-2343-2888 extension number 6 or fax to +886-2-2343-2968.

10. Scholarship and Financial Assistance

Short-listed applicants shall be entitled to a two (2) year full scholarship provided by the International Cooperation and Development Fund (TaiwanICDF) from August 2011 to July 2013. The scholarship is granted in compliance with the exact starting and end months, if the case arises that the report date is later than August or the graduation date earlier than July.

Scholarship:

The scholarship shall cover airfare, dormitory allowance, tuition and credit fees, miscellaneous expenses, insurance allowance, book allowance, and living allowance:

A. Airfare. As regulated by the TaiwanICDF.

B. Dormitory. Accepted students shall be housed in the graduate student dormitory.

C. Tuition and Fees. As regulated by NSYSU.

D. Credit Fees. Based on the required total number of units enrolled.

E. Insurance Allowance. To cover basic insurance as provided by the National Health Insurance and student safety insurance as regulated by the Ministry of Education, the allowance also covers accident and health care insurance.

F. Book Allowance. To cover textbooks and other reading materials as approved and purchased by the program director.

G. Living Allowance. Each student shall be given NTD 15,000.00 per month as living allowance.

11. Academic Calendar

1st Semester starts in September

2nd Semester starts in February

12. Other Matters

For other queries that are not clearly stated in this communication, please refer to the website of the Internwational Master’s Program in Electric Power Engineering at or

() and The NSYSU Student Manual.

Ⅳ. Application Deadline

Application forms and relevant materials must be forwarded by the ROC (Taiwan) Embassy / Representative Office or the Taiwan Technical Mission to the following address before April 30 2011:

Office of International Affairs

National Sun Yat-sen University

No. 70, Lienhai Rd., Kushan District

Kaohsiung 80424

Taiwan, ROC

Ⅴ. Contact Information

Contact: Ms.Joanna Ming-Mei Jian

Tel: 886-7-525-2000 ext. 4175

Fax: 886-7-525-4419

Address: International Master’s Program in Electric Power Engineering

National Sun Yat-sen University

No. 70, Lienhai Rd., Kushan District, Kaohsiung 80424, Taiwan

E-mail: joanna944@staff.nsysu.edu.tw



On-line application form will be available on Feb.1st.2011~Mar.30th.2011 only. Applicants still can submit the applications in hard copy before April.30th.2011. If you have any questions please feel free to contact with the Office of International Affairs of National Sun Yat-sen University.

The application form might be changed subject to possible official announcements by National Sun Yat-sen University.

Contact: Ms. Jen, Yung-Chieh (Jen)

TEL：886-7-5252000 ext.2242

FAX：886-7-5252240

E-mail:yjen@staff.nsysu.edu.tw

Ⅵ. Application Form & TaiwanICDF Medical Report

外國學生入學申請表

APPLICATION FORM FOR ADMISSION

國立中山大學

高雄市鼓山區蓮海路70號

請以中文或英文正楷逐項填寫 Please fill-in the following entries in Chinese or English

一、個人資料 Personal Information

|申請人姓名 |(中文Chinese if applicable) |

|Name | |

| |(英文English) |

|住　址 | |電　話 | |

|Permanent Address | |Telephone No. | |

|現在通訊處 | |E-mail | |

|Mailing Address | | | |

|出生地點 | |出生日期 | |國　籍 | |性　別 |男Male |

|Place of Birth | |Date of Birth | |Nationality | |Sex |女Female |

|護照號碼 | |社會安全號碼 | |婚姻狀況 | |子女人數 | |

|Passport No. | |Social Security | |Marital Status | |No. of Children | |

| | |No. | | | | | |

|生父 |中文姓名Chinese| |英文姓名 | |國　籍 | |

|Biological |name if | |English Name | |Nationality | |

|Father |applicable | | | | | |

| |出生地點 | |出生日期 | |電　話 | |

| |Place of Birth | |Date of Birth | |Telephone No. | |

|生母 |中文姓名Chinese| |英文姓名 | |國　籍 | |

|Biological |name if | |English Name | |Nationality | |

|Mother |applicable | | | | | |

| |出生地點 | |出生日期 | |電　話 | |

| |Place of Birth | |Date of Birth | |Telephone No. | |

|在臺聯絡人 |中文姓名Chinese| |英文姓名 | |電　話 | |

|Contact Person in |name if | |English Name | |Telephone No. | |

|Taiwan |applicable | | | | | |

| |住　址 | |E-mail | |

| |Mailing Address| | | |

二、教育背景Educational Background

|學程 |學校名稱 |學校所在地 |主修學門 |副修學門 |就學期間 |學位/證書 |取得學位日期 |

|Degree |Name of Institute |Location |Major |Minor |Duration of study|Degree/Diploma |Date of Degree |

| | | | | | |Certificate |Granted |

|高級中學 | | | | | | | |

|High School | | | | | | | |

| | | | | | | | |

|研究所 | | | | | | | |

|Graduate | | | | | | | |

| | | | | | | | |

|其他訓練 | |

|Other Training | |

|相關經歷 | |

|Previous | |

|Employments | |

三、擬申請就讀之系(所)及學位Department/Graduate Institute and Degree sought

|系（所） | |

|Department / | |

|Graduate Institute | |

|學位 |□學士Bachelor |□碩士Master |□博士Ph.D. | |

|Degree | | | | |

（續反面Continue on reverse side）

**

|英語是你的母語嗎？ |

|Do you use English as a primary mode of communication？　　□Yes □No |

|是否領有居留証? (如果領有居留証，請回答完以下所有問題) |

|Do you process an Alien Resident Certificate? 　　□Yes □No |

|(IF yes, please finish following questions.) |

|居留證號 |已來台居住多久? |

|Alien Resident Certificate No _______________________________ |How long have you been living in Taiwan? ________________________ |

|是否領有健保卡? |

|Do you process a National Health Insurance IC Card? 　　□Yes □No |

四、中文語文能力Chinese Language

How long have you had a formal training in Chine Proficiency

|學習中文幾年se? | |

|學習中文環境（高中、大學、語文機構） | |

|Where did you learn Chinese? (high school, college, language institute) | |

|您是否參加過中文語文能力測驗 |□是Yes 　□否No |何種測驗 | |

|Have you taken any proficiency test in Chinese? | |Type of Test | |

| | |分數 | |

| | |Score | |

|自我評估Self evaluation |

|聽Listening |□優Excellent |□佳Good |□尚可Average |□差Poor |

|說Speaking |□優Excellent |□佳Good |□尚可Average |□差Poor |

|讀Reading |□優Excellent |□佳Good |□尚可Average |□差Poor |

|寫Writing |□優Excellent |□佳Good |□尚可Average |□差Poor |

五、財力支援狀況：在本校求學期間費用來源 Financial Information: How will you fund your study at NSYSU？

|□個人儲蓄 |□父母支援 |

|Personal Savings (金額Amount of Dollars) |Parental Support (金額Amount of Dollars) |

|□獎助金 |□其他 |

|Scholarship (來源及金額Source & Amount of Dollars) |Others (來源及金額Source & Amount of Dollars) |

六、獎勵Financial Aid*

|國立中山大學外國學生獎勵 |

|NSYSU Financial Aids for Foreign Students (For non-ICDF Scholarship applicants) |

|申請方式 |擬申請之獎助項目 |

|Application procedure |Choose applicable items. |

|本獎勵辦法包含研究所獎學金、教學助理（TA）研究助理（RA）以及在學期間免付學 |1.□在學期間免付學費 (Tuition Waiver) |

|費，可同時申請。其中研究所獎學金及在學期間免付學費由本校國際學生獎勵審查委 |2.□研究所獎學金 (Fellowship; only available for Masters and Doctoral |

|員會審議，TA/RA轉交各申請就讀系所審核；核准名單於6月底前公告。 |students) |

|NSYSU financial aids include fellowship, teaching assistantship/research |3.□教學助理（Teaching Assistant） |

|assistantship (TA/RA), and tuition waiver. The applicants may apply for all|可勝任之課程 (得檢附相關證明)： |

|of them at the same time. The fellowship and tuition-waiver applications |Significant courses (relevant documents if any): |

|will be examined by an Ad Hoc committee and the TA/RA applications will be | |

|determined by the related departments or institutes. The final decisions | |

|will be made public by the end of June. |□研究助理 (Research Assistant) |

| |Interested topics (relevant documents if any): |

| | |

*不可與同一類獎學金重複領取 Students cannot receive more than one funding support with a similar nature.

七、繳交資料紀錄表Checklist

（申請人務必就已繳交之資料，在下面表格之繳交註記欄內打(）【繳交資料項目內容說明請參閱「本校外國學生入學申請注意事項」第二項之說明，以及「本校外國學生獎勵辦法」第三條之說明】

Please put a check mark (on the space provided (refer to the application requirements in the “NSYSU Admission regulations for Foreign Students” and “the NSYSU Financial Aids for Foreign Students”).

|註　記 |「本 校 外 國 學 生 入 學 申 請」 繳　交　資　料　項　目 |份　數 |

|Check |Items of Documents for Admission Application |Copies |

| |入學申請表（含國籍及國外學歷切結書）正本 |２ |

| |(2) completed application forms | |

| |(Including Undertaking and Statement of Declaration on Foreign Academic Background) | |

| |國籍證明文件影本（護照或外僑居留證或出生證明） |１ |

| |(1) copied Certificate of Nationality (passport, residence certificate or birth certificate) | |

| |經驗證之原文畢業證書影本 |２ |

| |(2) authenticated copies of certificates of the highest-level diploma rendered | |

| |經驗證之畢業證書翻譯本（原文畢業證書非中文或英文者才需繳交） |２ |

| |(2) authenticated copies of translated certificate of diploma (if the official one is not in Chinese or English) | |

| |經驗證之原文歷年成績單 |２ |

| |(2) authenticated official transcripts | |

| |經驗證之歷年成績單翻譯本（原文歷年成績單非中文或英文者才需繳交） |２ |

| |(2) authenticated copies of translated transcripts (if the official one is not in Chinese or English) | |

| |經驗證之財力證明書（銀行出具具備足夠在華就學之財力）(Not for ICDF Scholarship applicants) |１ |

| |(1) authenticated financial statement issued by a bank | |

| |喪失中華民國國籍許可證書（如適用） |１ |

| |(1) Certificate of Nationality Renouncement of Republic of China (if applicable) | |

| |居留証影印本（如適用） |1 |

| |(1) copied Alien Residence Certificate (if applicable) | |

| |各學系所另訂應附繳之資料 | |

| |Other materials required by specific departments/institutes (please specify) | |

| |其他有助審查之資料 | |

| |Other supplemental documents | |

|註　記 |「國 立 中 山 大 學 外 國 學 生 獎 勵」 額 外 繳 交 資 料 項 目 |份　數 |

|Check |Items of Documents for NSYSU Financial Aid |Copies |

| |英文歷年成績單（應經原畢業學校加蓋章戳或鋼印密封） |１ |

| |(1) official transcript in English (authenticated by the school from which students graduated) | |

| |留學計畫或研究計畫書 |１ |

| |(1) study plan or research Plan | |

| |個人簡歷 |１ |

| |(1) Curriculum Vitae | |

| |其他有助審查之文件 | |

| |Other supplemental documents | |

※ 上述寄繳之資料請自行備份留存，本校審核後，不論錄取與否，均留校存查。

All documents submitted with your application shall remain with the university and will not be returned regardless of admission status. Please keep you own personal copy for future reference.

八、通訊處Mailing Address

請在下面空白處，以正楷寫下聯絡姓名、地址、電話和e-mail

Please write down your name, mailing address, telephone number and e-mail address clearly in the following blank space.

|Name |: | |

|Address |: | |

| | | |

|Tel No. |: | |

|E-Mail |: | |

國立中山大學

National Sun Yat-sen University

☆☆☆☆☆☆　切　結　書 Undertaking　☆☆☆☆☆☆

申請人Name of Applicant: 護照號碼Passport No:

聯絡電話Contact Tel. No.:

申請系所Department or Institute applied: 系（所）

欲修讀學位Degree to pursue □學士Bachelor □碩士Master □博士Ph.D.

|一、本人及本人父母、祖父保證不具中華民國國籍法第二條所稱中華民國國籍。(註) |

|I hereby certify that I do not hold the nationality of Republic of China. |

|(Please refer to the Article 2 of Nationality Law of Republic of China for ROC Nationality Definition)* |

|二、本人保證不具僑生身份且在台並未以僑生身分申請大學校院。 |

|2. I hereby certify that I do not possess overseas Chinese status or had previously applied colleges/universities with this status in Taiwan. |

|三、本人不曾在台以外籍生身分完成高中學校學程，或未曾經國內大學校院退學。 |

|3. I hereby certify that I do not finish high school programs in Taiwan with foreign student status, or once was withdrawn from colleges/universities in|

|Taiwan. |

|四、本人保證不具香港或澳門或中華人民共和國國籍。 |

|4. I hereby certify that I do not hold the nationality of Hong Kong, Macau, and People’s Republic of China. |

|五、本人過去如擁有中華民國國籍，本人保證自內政部許可喪失中華民國國籍之日起至貴校開學日止，喪失中華民國國籍已滿八年。 |

|I hereby certify that if I once held the nationality of Republic of China, I have renounced it for more than 8 years till the date school begins. |

|六、本人所提供之最高學歷畢業證書在畢業學校所在國家均為合法有效取得畢業資格，並所持之證件相當於中華民國國內之各級合法學校授予學位。 |

|6. I hereby certify that the certificates of the highest-level diploma I provide are valid and authentic from my school, and they are equivalent to the |

|degree level that universities/institutes offer in Republic of China. |

|七、上述所陳之任一事項同意授權　貴校查證；並同時授權被查證單位可提供任何資料以佐證。如有不實或不符規定等情事屬實者，本人願依　貴校相關規定被撤銷入學資格|

|、開除學籍或取消畢業資格，絕無異議。 |

|7. I hereby authorize National Sun Yat-sen University to verify the authenticity of all the documents I provide. If anything I provide is not true, I |

|shall follow the regulations and rules of National Sun Yat-sen University for possible withdrawal of admission, schooling, or degree earned. The |

|decision by NSYSU is final and irrevocable. |

| |

|註: 國籍法第二條規定: |

|有下列各款情形之一者，屬中華民國國籍： |

|一 出生時父或母為中華民國國民。 |

|二 出生於父或母死亡後，其父或母死亡時為中華民國國民。 |

|三 出生於中華民國領域內，父母均無可考，或均無國籍者。 |

|四 歸化者。 |

|前項第一款及第二款之規定，於國籍法修正公布時之未成年人，亦適用之。 |

|＊ According to the Article 2 of Law of Nationality, A person who meets one of the following requirements acquires the nationality of the Republic of |

|China: |

|1. A person whose father or mother is, at the time of his (her) birth, a citizen of the Republic of China. |

|2. A person born after the death of his (her) father or mother who was, at the time of his (her) death, a citizen of the Republic of China. |

|3. A person born in the territory of the Republic of China and whose parents are both unknown or are stateless. |

|4. A naturalized person. |

|The provisions specified in sub-paragraphs (1) and (2) of the preceding Paragraph shall apply to minor children on the date of the promulgation of the |

|amendment of this Law. |

| |

|立書人簽名 　　 日期 |

|Signature 　　 Date |

國立中山大學

國外學歷報考切結書

National Sun Yat-sen University

Statement of Declaration on Foreign Academic Background

|姓　名 | |護照號碼 | |

|Name | |Passport No. | |

| | |聯絡電話Contact Tel. | |

| | |No. | |

|申請系所班組別 |系所別Dept. or Institute： |

|Dept. or Institute Applied: |欲修讀學位Degree to pursue (please mark)： |

| |□學士Bachelor □碩士Master □博士Ph.D. |

|所持國外學歷(力) |校　名University Name： |

|The foreign Academic Diploma |學校所在國別及州別State/County of University or Institute： |

|(or Certificate) 　 | |

| |系所別Dept. or Institute： |

| |學位別Degree：　　　　　　　　　　 (please mark related selection) |

| |□高中學位High School　□學士學位BA or BS　□碩士學位MA |

|切結事項 |本人所持國外學歷證件，確為教育部認可，經駐外單位驗證屬實。 |

|Declaration |1. The foreign High School / BA or BS / MA Academic Diploma (or certificate) is approved by the Ministry of Education |

| |and certified (notarized) by the representative office of Taiwan in your home country. |

| |本人取得學位規定之總學分數中，遠距教學課程未超過二分之一。 |

| |2. Among the total credits earned stated on the transcript, those acquired from the distance-learning courses do not |

| |exceed one half of the total credits. |

| |本人保證於錄取報到時，繳交經駐外單位驗證之國外學歷證件影本（加蓋認證章戳）、歷年成績證明影本（加蓋認證章戳）、畢業學校 |

| |開具之國外學歷修業起迄期間證明。若持非英語系國家之國外學歷證件及歷年成績單，須附上中文或英文譯本並經駐外單位認證加蓋章 |

| |戳。 |

| |3. The undersigned applicant must turn in all following documents upon arrival for registration at the university: |

| |certified (or notarized) copy of (1) highest-level diploma (or certificate), |

| |(2) cumulative transcript, (3) Certificate of Duration in Foreign Degree issued by home university. If any of the |

| |documents are in languages other than English, please provide Chinese translation copy certified (or notarized) by |

| |official representative offices of Taiwan in your home country |

| |若未如期繳交前述資料或經查證不符合　貴校報考條件，本人自願放棄入學資格，絕無異議。 |

| |4. I will forgo admission qualification without any objections if the documents mentioned above are not submitted |

| |accordingly or are found to be false. |

| | |

| |立書人簽名 日期 |

| |Signature Date |

[pic]

Applying for: National Sun Yat-sen University (NSYSU)

International Master’s Program in Electric Power Engineering

INSTRUCTION：

PART 1:　Personal Details and Health Declaration － to be completed by the applicant

I hereby certify that the following information is true and complete, and agree that any misrepresentation or deliberate omission of a material fact on this form may result in the withdrawal of an offer of a place or scholarship, or may result in the termination of any such offer at a future date. I hereby grant the TaiwanICDF permission to share information contained in my Medical Examination Form with relevant authorities.

X

PART 2:　Medical Examination － to be completed by certified physician

☆National Sun Yat-sen University (NSYSU) reserves the right to require the applicant to undergo a future medical examination after he/she arrives in the Republic of China (Taiwan).

PART 1: HEALTH DECLARATION

Nationality:

Name: (Last)

(First)

(M. Initial)

Gender: Male□ Female□ Date of Birth: Y/ M/ D/

|Health History: |

|Have you ever suffered any of the following conditions? Please mark X in appropriate box |

|Psychiatric illness |□　　　□ | | |

|Epilepsy |□　　　□ |Thyroid Diseases |□　　　□ |

|Migraine |□　　　□ |Kidney Diseases |□　　　□ |

|Asthma |□　　　□ |Cancer |□　　　□ |

|Tuberculosis (PTB) |□　　　□ |HIV/AIDS |□　　　□ |

|Hypertension (HPT) |□　　　□ |Venereal Diseases |□　　　□ |

|Diabetes Mellitus (DM) |□　　　□ |Leukemia |□　　　□ |

|Heart Diseases |□　　　□ |Hemophilia |□　　　□ |

|Malaria |□　　　□ |Hepatitis |□　　　□ |

| | |Measles |□　　　□ |

| | |German Measles (rubella) |□　　　□ |

|Please State (if any) |

|Other illnesses |

|………………………………………………………………………………………………………. |

|Operation / Surgical |

|………………………………………………………………………………………………………. |

|Allergic to |

|………………………………………………………………………………………………………. |

|Family Medical History (if any) |

|Father:…………………………………………… Mother: …………………………………………… |

|Past Year Life: Please select |

|1. Sleep: □7~8 hours every day □Under 7~ 8 hours □Often suffer from insomnia |

|2. If that is basic to exercise each time for 30 minutes and 3 times every week at least, did you achieve? □No □Yes |

|4. Do you often feel anxious and worried? □Few or not □Sometimes □Often |

|5. Do you often feel the chest is stuffy? □No □Sometimes □Yes |

|6. Stomach-ache? □No □Sometimes □Often;. Headache? □No □Sometimes □Often |

|7. The menarche (girl only): (1) The age of the menarche: ______years-old |

|(2) Is menstrual cycle regular? □No □Yes(Date of partition ______day) |

|(3) Do you ever have menstrual cramp phenomenon □No □Yes |

PART 2: MEDICAL EXAMINATION

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 applicant’s health given in this form.

Certified original lab data need to be attached as reference.

Name of Applicant: Date of Birth

Y/ M/ D/

|Physical Examination: |

|HEIGHT： | cm |WEIGHT： | kg |

|BLOOD PRESSURE： |/ mmHg |PULSE RATE： |/min |

|VISUAL ACUITY： |　R L |

|EYES：□normal　□color anomalous　□other |

|EAR/NOSE/THROAT：□normal　□auditory meatus abnormal　□cleft lip and palate　 |

|□impending infarction　□allergic rhinitis　□chronic rhinitis　□other |

|NECK：□normal　□wryneck　□goiter　□the lymphoid swelling of gland is big　□other |

|CHEST：□normal　□thoracic anomaly　□core noise　□arrhythmias　□other |

|CHEST X RAY：□normal　□advertise for like the tuberculosis　□pleura effusion　□thoracic abnormality |

|□tuberculosis calcify　□the spinal column side is curved up　□cardiac hypertrophy |

|□bronchiectasis　□other |

|ABDOMEN：□normal　□hepatomegaly　□splenomegaly　□hernia　□other |

|SPINAL COLUMN ARMS AND LEGS：□normal　□scoliosis　□frog limb　□articulation deformity |

|□edema　□other |

|SKIN：□normal　□wart　□purple plague　□scabies　□a dermatitis　□other |

|MOUTH CAVITY：□normal　□oral hygiene is poor □calculus □gingivitis　□milk tooth　□other |

|Urine Test: |

|NAD 　　　　 WBC　　　　　 RBC　　　　　PROTEIN 　　　　　 CLUCOSE　　　　 |

|Hepatitis B Test: |

|POSITIVE　　　　　　　　 |NEGATIVE　　　　　　　　 |

|Serological Test for Syphilis: | |

|POSITIVE　　　　　　　　 |NEGATIVE　　　　　　　　 |

|HIV Test: |

|POSITIVE　　　　　　　　 |NEGATIVE　　　　　　　　 |

|THE ORIENTATION INSTITUTION WILL REQUIRE A FURTHER HIV TEST AFTER HE/SHE ARRIVES IN ROC (TAIWAN). THE ONE WITH POSITIVE TEST RESULT WILL BE REJECTED |

|AND SENT BACK HOME IMMEDIATELY. |

|Pregnancy Test: |

|POSITIVE　　　　　　　　 |NEGATIVE　　　　　　　　 |

|Is the applicant now under treatment for any physical or emotional condition? |

|……………………………………………………………………………………………………… |

|Do you have any recommendations for the health care of this applicant? |

|……………………………………………………………………………………………………… |

|By history and physical examination, is this applicant a carrier of any communicable disease? |

|……………………………………………………………………………………………………… |

|CERTIFICATION BY THE MEDICAL OFFICER: |

|I certify that I have examined the above applicant and in my opinion: |

|□ The applicant is medically fit to undertake a program in Taiwan |

|□ The applicant suffers mental or physical defects and is NOT in good health |

|　Name of physician, Title |:………………………………………………… |

|　Name of Hospital / Clinic |:………………………………………………… |

|　Address |:………………………………………………… |

| |:………………………………………………… |

| |:………………………………………………… |

|　Not valid if without the hospital or clinic’s seal |

-----------------------

Yes　　　No

Yes　　　No

PHOTO

　　Signature Date

International Cooperation and Development Fund

MEDICAL REPORT

FOR

International Higher Education

Scholarship Programs 2011

PART 1: HEALTH DECLARATION

PART 2: MEDICAL EXAMINATION FORM

[pic]

National Sun Yat-sen University (NSYSU)

Kaohsiung 80424, Taiwan, R.O.C.

http:// nsysu.edu.tw

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