Chinese (Mandarin) Learning Program, Chienkuo Technology University-BeClass報名表格2021-12-31

※ 姓名Name(Last, First)

※ EMAIL

行動電話phone

※ 性別 / Gender：

※ 護照號碼 / Passport Number：

※ 生日 / Date of Birth：

※ 目前從事行業/Current Occupation：

※ 郵寄地址/Mailing Address：

※ 緊急聯絡人地址 / Emregency Contact Address：

Academic Information

※ Academic Standing：

School Name? Major ＆ Minor? The address of school? The degree and the graduation date

1.
2.
3.
4.

Application

※ Which courses are you applying for?：

※ 班級/class group：

※ 課程期別/ Terms：

學生學習背景資料調查表Survey of Student’s Language Background

※ 1.hrs/per week 2. months 3.years 4.language center

Have you studied Chinese before?

1.
2.
3.
4.

※ Where did you learn it?：

What was your Chinese textbook?：

※ 你認識拼音嗎？Can you listen and write down PinYin?：

精通 Perfect
尚可 Fair
一點 A little
不會 No

※ ※Can you read Chinese?：

繁體字 Traditional character
簡體字 Simplified character
不會No

※ ※Can you write in Chinese?：

繁體字 Traditional character
簡體字 Simplified character
不會 No

※ ※Have you ever taken a Chinese Proficiency Test?

If yes, please answer the following questions.：

※ Applicant Signature：

I declare that:

The above information included in my application is accurate and correct to the best of my knowledge.I hereby declare that the information given above is true, correct and complete, for which I shall bear all the legal responsibilities.

團報資料

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總金額

***元
(依據人數計費：每人元)