華語文中心入學申請表 Application Form of Chinese Language Learning Center
元培醫事科技大學華語文中心
Yuanpei University of Medical Technology Chinese Language Learning Center
30015 新竹市元培街306號
No.306, Yuanpei street, Hsinchu 30015, Taiwan, R.O.C
Tel.：+886-3-6102322
Fax：+886-3-6102389
e-mail：ypucllc0311@gmail.com
https://cllc.ypu.edu.tw/
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外文姓名Name in English (as shown in passport) *
中文姓名Name in Chinese *
國籍Nationality *
性別Sex *
出生日期Date of Birth(mm/dd/yyyy) *
最高學歷Highest Educational Attainment *
永久地址Permanent Address *
電話號碼Telephone No. *
電子郵件信箱E-mail Address *
Line ID
課程類型 Type of course *
 請問是否學過華語？Have you ever learned Mandarin? *
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