Agricultural Economics Master Program - Taiwan · The Agricultural Economics Master Program is a multifaceted effort of the Department of Agricultural Economics, the College of Bio-Resources

Agricultural Economics Master Program

(2010 / 2011)

Department of Agricultural Economics

National Taiwan University (NTU)

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Agricultural Economics Master ProgramGraduate Institute of Agricultural Economics

National Taiwan University (NTU) Contents:

Introduction of University

Why NTU NTU Past, Present and Future Academics Campus Location and Area

　Master Program in Agricultural Economics

Ⅰ. Introduction of Program Program Overview Program Objectives Scope of Curriculum Degree Conferral

Ⅱ. Qualification

Ⅲ. Admission

Ⅳ. Application Deadline Ⅴ. Contact Information

Ⅵ. Application Form & TaiwanICDF Medical Report

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Introduction of National Taiwan University Why NTU

Taipei, the capital of Taiwan, is one of the most unique cities in the Chinese speaking world. It is not only for its 400-year history, but also for its modernity, democracy and free atmosphere. The city combines rich traditions with advanced technology and thoughts. It is a city that merges eastern and western culture. In this conflict and harmony, Taipei shows its charm, vitality and diversity. For students who choose Taipei to carry out their study, they will learn to be more interculturally sensitive by living in such a multicultural and dynamic city. At the same time, a top-ranking university such as National Taiwan University (NTU) will help shape students into intellectuals with insight and vision. As one of the most prestigious and comprehensive universities in Taiwan, NTU plays an important role in developing Taipei, Taiwan and the people. NTU has been an incubator for top intellectuals, outstanding scholars and excellent researchers in every field in Taiwan.

NTU Past, Present and Future National Taiwan University (NTU) was founded by the Japanese in 1928 as Taihoku (Taipei) Imperial University. After World War II, the ROC government resumed the administration of Taihoku Imperial University, reorganized it and renamed it "National Taiwan University" in 1945. Currently, the university has 11 colleges, 54 undergraduate departments, and 99 graduate institutes offering 98 Master and 88 PhD programs. The number of students reached a total of 32,055 in 2006, including those from the division of Continuing Education & Professional Development. The ratio of students registering for Bachelor’s, Master’s and PhD programs is 4:2:1. The total number of faculty members is 3054, among them, 973 are full-time professors. The number of international students is more than 400, coming from more than 50 different countries all over the world. In order to promote international competitiveness, NTU is actively expanding its international intake, extending more partnerships with top

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Center.

universities in the world, and increasing cooperation in the areas of student exchange, faculty exchange, and dual degree programs.

Academics The 11 colleges of the university are: College of Liberal Arts, College of Science, College of Social Sciences, College of Medicine, College of Engineering, College of Bio-Resources & Agriculture, College of Management, College of Public Health, College of Electrical Engineering & Computer Science, College of Law, and College of Life Science. In addition to these colleges, research centers at NTU are also dedicated to academic development; there are national research centers as well as first tier research units. By participating in research projects conducted by professors, students also have the chance to carry out researches with support from the research centers. The national research centers at NTU are: Earthquake Engineering Research Center, Ocean Research Center, Nano Electromechanical System Research Center, Humanities Research Center and Disaster ResearchPlease visit our website for more details: http://www.ntu.edu.tw/

Campus Location and Area

The total area of NTU is about 1% of the total territory of Taiwan. It is mainly distributed between the Main Campus in Gong-guan, Taipei, the College of Law on Hsu-chou Road, the College of Medicine Campus and the affiliated NTU hospital on Jen-ai Road, the Experimental Farm at An-keng, the Experimental Forest and Highland Farm at Nan-tou, the Yi-lan Campus, the Hsin-chu Campus, and the Yun-lin Campus. Among them, the Main Campus, Law Campus, and Medicine Campus are the main teaching campuses located in the center of Taipei city. The rest are mainly for research and experiment purposes. The following is a brief introduction to the Main Campus:

On-campus Environment

Main Campus Like a green park situated in the metropolitan Taipei City, the main campus enjoys the great privilege of tranquility and nature. Although

http://www.eng.ntu.edu.tw/eng/english/eng_ceer.htmhttp://www.eng.ntu.edu.tw/eng/english/eng_ni.htmhttp://www.ntu.edu.tw/

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NTU is one of the oldest universities in Taiwan, we insist on providing most advanced and modern facilities to our students. Both the Main Library (1998) and the Sports Center (2001) are newly built, and a campus-wide wireless network connection has also been installed.

Main Library There are several libraries on different campuses with a total collection of 3 million volumes. The Main Library provides books, periodicals, pamphlets, ancient books and audiovisual materials in a wide range of fields. For example, there are about 2,600 kinds of periodicals, more than 100 newspapers from all over the world and more than 30,000 electronic materials. The volumes of ancient and rare books amount to 50,000. At present, the Main Library owns the largest collection in Taiwan. The Main Library has been designated as one of the official repositories of government publications and it maintains agreements to exchange publications with over 2,000 academic and research institutions in over 60 countries.

Sports Center The Sports Center is equipped with various modern facilities, such as a main court, a general court, an indoor swimming pool, a gym, a table tennis room, a squash court, a martial arts room, a dance room, an aerobic room, a judo room and an international conference hall. It satisfies students’ needs and interests.

Computer and Information Networking Center (C&INC) The C&INC offers services in E-mail account application, Webmail maintenance, computer courses, and classrooms for distance education. The center is also in charge of the entire campus network, including the dormitory network, wireless network, TANet/I1, Tanet2/I2, NTU Proxy, NTU Net News, ADSL, VPN and Dial-up network connection.

Off-campus Environment

Taipei city is surrounded by the Tanshui and Keelung Rivers. There are highly concentrated highway and railway networks, and a convenient Mass Rapid Transit System (MRT). NTU is easily accessible from all corners of the city. The famous Yangmingshan National Park in northern Taipei is about one hour away by car. Taipei offers its inhabitants the convenience of metropolitan civilization as well as the relaxed atmosphere of nature.

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Ⅰ. Introduction of the Agricultural Economics Master Program Program Overview

The Agricultural Economics Master Program is a multifaceted effort of the Department of Agricultural Economics, the College of Bio-Resources and Agriculture, National Taiwan University and Taiwan International Cooperation and Development Fund (TaiwanICDF). The program is under the Graduate Institute of Agricultural Economics. Agricultural development is the crucial factor for a country’s broad-based development, especially for the developing countries. The unique experience of agricultural development in Taiwan can be used as a reference and model for these countries. Students learning agricultural economics expertise and agri-business management skills throughout the program will be well prepared to engage in entry-level management, agricultural production, marketing, and finance positions offered by private firms as well as public sector related to agriculture. The program will also enhance students’ grasp of important issues and problems of agriculture, which in turn helps foster their potential for leadership in agricultural policy and agribusiness management. 　

Program Objectives

Cultivating superior agricultural policy-makers and managers. Enhancing international students’ grasp of important issues in

agriculture, and to help foster their potential for leadership in agricultural policy and agribusiness management.

Helping our university respond to the need for internationalization and to maintain its standards of excellence.

　

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Scope of Curriculum

The curriculum is grouped into four major categories: Agricultural Policy, Institutions and Regulations; Agricultural Marketing, Trade and Consumption; Production Economics and Management; and “Resources and Environmental Economics.” The courses include Agribusiness Management, Agricultural Trade, Agricultural Policy Analysis, Agricultural Development, Agricultural Marketing, 　Efficiency and Productivity Analysis, Applied Microeconomics, Advanced Macroeconomics etc.

Students are required to complete 31 credits including six credits of thesis.

Requirements Credit Schedule

Applied Microeconomics 3 2009 Fall

Efficiency and Productivity Analysis 3 2009 Fall

Agricultural Marketing 3 2009 Fall

Advanced Macroeconomics 3 2010 Spring

Agribusiness Management 3 2010 Spring

Agricultural Trade 3 2010 Spring

Agricultural Policy Analysis 3 2010 Fall

Agricultural Development 3 2010 Fall

Seminar 1 2010 Fall

Thesis 6

Degree Conferral

Graduate students will be awarded a degree of Master of Science from Dept. of Agricultural Economics, College of Bio-resource and Agricultural, National Taiwan University after completing the require courses and a Master thesis.

http://www.agec.ntu.edu.tw/Web-try/igp-apdm/apdm_micro.htmhttp://www.agec.ntu.edu.tw/Web-try/igp-apdm/Syllables_Hsu_2007.dochttp://www.agec.ntu.edu.tw/Web-try/igp-apdm/Agri_MKT.doc

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Ⅱ. Qualification Applicants must hold a bachelor’s degree in fields related to

Agricultural Economics at foreign universities and colleges approved by the Taiwan Ministry of Education.

Applicants are except to equip with basic economics and mathematic concepts.

Applicants from countries where English is not the native language, or those who have completed their bachelor’s degree at a non-English speaking academic institution, is required to take the TOEFL or provide English-proficiency verifications.

All materials must be forwarded by the ROC (Taiwan) Embassy /Representative Office to National Taiwan University.

Ⅲ.Admission

Application Procedure: All materials must be forwarded by the ROC (Taiwan) Embassy /Representative Office to National Taiwan University:

Documents Required:

1. Check list of submitted documents 2. Four copies of completed application forms 3. Two official copies of diploma certified by the embassy 4. Two copies of official transcripts in Chinese or English version issued by

the institution 5. One copy of study plan in English

glish 6. Two letters of recommendation in En7. An evidence of English proficiency 8. Health Examination Certificate (including an HIV test) 9. Declaration form and authorization from (to declare the truthfulness of the submitted information and authorized NTU to verify the submitted information)

10. One photocopy of passport 11. Other supporting materials

** All application documents are preferred in A4 size.

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Ⅳ. Application Deadline

Application Deadline: April 30, 2010 Ⅴ. Contact Information

Dept. of Agricultural Economics, National Taiwan University. No. 1, Section 4, Roosevelt Road, Taipei 106, ROC Taiwan Contact Person: Ms. An-Ching, Kuo E-mail: [email protected] http://www.agec.ntu.edu.tw/Web-try/igp-apdm/apdm-main.htm Tel: 886-2-3366-2674 Fax: 886-2-2362-8496

Ⅵ. Application Form & Taiwan ICDF Medical Report

Please see attachment 1- 5 and make sure you hand in all required attachments, 18 pages in total.

Application forms (attachment 1, 4 pages) Authorization from (attachment 2, 1 page) Declaration form Ⅰ, Ⅱ (attachment 3-1, 2 pages; attachment

3-2, 1 page) Medical report Ⅰ, Ⅱ and Ⅲ(attachment 4-1, 2 pages;

attachment 4-2, 1 page; attachment 4-3, 6 pages) Check list (attachment 5, 1 page)

Medical Report

Please see attachment 4-1 to 4-3.

mailto:[email protected]://www.agec.ntu.edu.tw/Web-try/igp-apdm/apdm-main.htm

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Attachment 1

Application Form for International Students NATIONAL TAIWAN UNIVERSITY

Academic Year 2009~2010

Attach recent

photograph here(about 1〞x 2〞)

Application Number

（For Official Use Only）

Please fill in all the items marked with 『＊』

Please avoid using signs like‘ ’，“ ” and diacritics like ,

*****************************************************************************************************************************************************

Personal Information ＊Full name (In Chinese) COMPULSORY!! (Maximum of 6 characters. If your computer doesn’t have Chinese system, please fill it in after printing the form out. If you don’t have one, you may leave it blank, we will give you one after admitted.) ＊Full name (In English) as appears in passport

(First) (Middle) (Last)

＊Home Address_____________________________________________________________________ Zip Code____________ (Please fill in N/A if none) ＊Mailing Address (If the address is in Taiwan, please try to fill it in in Chinese characters. The admission result will be sent to this address around middle of June) Street: _____________________ City: _______________________ Country: ___________________ Zip Code___________________ (Please fill in N/A if none) ＊Phone Number: ______ _ Cell Phone Number: __ ＊ E-mail 1_____________________________________E-mail 2__________________________________________________ (Please check your e-mail regularly for new important information.) ＊Country of Birth_______________ ＊Date of Birth_______M_______D_______Y ＊Sex □Male □Female ＊Nationality_______________________________

＊Father’s name ____________________________ ＊Mother’s name ______________________________________

＊Country of Birth___________________________ ＊Country of Birth _____________________________________

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Attachment 1

Date of Birth ______M ______D_________Y Date of Birth ______M ______D_________Y

Address___________________________________ Address____________________________________________

Application Information ＊ What department or graduate instit◎ ute do you expect to study at NTU? _______________________________ _________________________________

Department or Institute Division ＊ What degree do you plan to pursue?◎ □Bachelor □Master □Doctor ＊ Which status do you plan to apply? ◎

□Degree Student □Non-degree Student

1. Those applying for non-degree study should be already residing in Taiwan and be holding an ROC alien resident certificate. The valid period for the certificate should be through June 30, 2009. Being a non-degree student cannot become the reason to apply for the residence visa.

2. Applicants may tick both of the boxes only when they are willing to be admitted as “non-degree” students if not accepted as “degree” student.

Education Background

Degree

Items

Secondary School College or University

Graduate School

(Master)

Graduate School

(PhD)

Name of School

Period

From：

____M______Y To：

____M______Y

From：

____M_______Y To：

____M_______Y

From：

____M________Y To：

____M________Y

From：

______M_________YTo：

______M_________Y

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Attachment 1

Address of School

Degree Conferred

Major

*Average Grade / / / /

Rank

* The average grade is 8, and the full grade in the grading system is 10, please fill in 8/10

Job Background

Company Name Position in Company Year of Service

Other Information ＊ How will you finance your study at NTU? ◎ (You may choose more than one option)

□ Personal Savings □ Taiwan Scholarship Winner □ Under Application for Taiwan Scholarship

□ Parental Support □ Others (Please Specify) __________________________________ ＊ Would you like to apply for scholarship offered by NTU◎ ? (limited to graduate applicants)

□Yes □No (NTU will evaluate applicants' eligibility for scholarship by their degree application documents. Applicants do not need to send any extra document.) ＊ Is Chinese your native language◎ □ Yes □ No Have you ever learned Chinese □ Yes. For how long？________________ □ No

Where and under whose instruction?_______________________________________

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Attachment 1 ＊◎How do you evaluate your Chinese language proficiency?

Listening □Excellent □Good □Fair □Poor Speaking □Excellent □Good □Fair □Poor Reading □Excellent □Good □Fair □Poor Writing □Excellent □Good □Fair □Poor

＊ Have you taken any test of Chinese language◎ □ Yes □ No The name of the test(s)? ______________________________________________ Score？__________________ ＊ Is English your native language◎ □ Yes □ No Have you ever learned English □ Yes. For how long？________________ □ No

Where and under whose instruction?_______________________________________ ＊◎How do you evaluate your English language proficiency?

Listening □Excellent □Good □Fair □Poor Speaking □Excellent □Good □Fair □Poor Reading □Excellent □Good □Fair □Poor Writing □Excellent □Good □Fair □Poor

＊ Have you taken any test of English language◎ □ Yes □ No The name of the test(s)？______________________________________________ Score？__________________ ＊ From where did you hear of the NTU international programs?◎

□ Family/ Friend

□ Home School/ Teacher

□ Academic Conference/ Seminar

□ NTU Department/ Institute/ Teacher

□ Chinese Language Center __________________ (name of the center)

□ Taiwanese Foreign Embassy / Mission

□ Education Exhibition ______________________ (name of the exhibition)

□ http://www.tealit.com □ http://english.education.edu.tw/ □ http://www.forumosa.com

□ http://www.hyperstudy.com/ □ http://www.studysearch.net/ □ http://www.pracuj.pl/edukacja

□ http://www.worldwide.edu □ http://www.internationaleducationmedia.com

□ http://www.international.gradschools.com/

□ Travel in Taiwan Magazine □ DICES International Guide to Postgraduate Programs

□ Other ___________________________________

＊ I certify that I have completed this application form by myself, and that all the information

I have given is correct.

Applicant’s Signature_________________________________ Date__________________________

http://www.tealit.com/http://english.education.edu.tw/http://www.forumosa.com/http://www.hyperstudy.com/http://www.studysearch.net/http://www.pracuj.pl/edukacjahttp://www.worldwide.edu/http://www.internationaleducationmedia.com/http://www.international.gradschools.com/

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Attachment 2

AUTHORIZATION

I authorize National Taiwan University to undertake a

verification of the information I have provided and I authorize

all corporations, companies, educational institutions, persons and

former employers to release information they may have about me,

and release them from any liability for doing so.

Application Number

Print Full Name

High School（University）Student ID Number (if applicable)

Passport / Social Security or National ID Number (if applicable)

Date of Birth

Signature（Full Name）

Date M D Y

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Attachment 3-1 Applicant Application No.

Department/Institute Division

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

具結書（Declaration Ⅰ）中英文版本如有出入時，以中文版為準。

If discrepancy exists between the English texts and the Chinese texts, the Chinese texts prevail.

我，以下簽名者，具結：

一、本人未曾以僑生身分申請或在中華民國就讀

二、本人不曾在中華民國以外國學生身分申請並完成高中學校學程，並欲繼續在中華民國升大

學

三、本人未曾被中華民國大專校院退學

四、本人保證不具中華民國國籍法第二條所稱之中華民國國籍（註）

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

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。*民國 69 年 2月 9日前（含 9日）出生者，僅以父親為準。（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，於本法修正公布時之未成年人，亦適用之。

I, the undersigned, declare that: 1. I have never applied or studied in ROC as an Overseas Chinese student. 2. I have never applied and obtained a high school degree as an international student in

ROC, and would like to pursue further degree. 3. I have never been expelled by a university or college in ROC. 4. I do not have ROC nationality, as defined in the Article 2 of the Law of Nationality. 5. If I formerly held ROC nationality, I declare that I have officially renounce my ROC nationality for at least 8 years, up until the course starting date of National Taiwan University semester when I seek admission. Note： According to the Article 2 of the Law of Nationality, a person shall have the nationality of the Republic of China under any of the conditions provided by the following subparagraphs: (1) His/Her father or mother was a national of the Republic of China when he/she was born.

*The situation of mother does not apply to those who were born before February 9 (include the 9th), 1980. (2) He/She was born after the death of his/her father or mother, and his/her father or mother was a national of the

Republic of China at the time of death. (3) He/She was born in the territory of the Republic of China, and his/her parents can’t be ascertained or both were

stateless persons. (4) He/She has undergone the nationalization process.

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Attachment 3-1 Preceding subparagraph 1 and subparagraph 2 shall also apply to the persons who were minors at the time of the revision and promulgation of this Act.

六、本人所提供之畢業證書，均在畢業學校所在地國家為合法並有效取得之畢業資格，且所持

有之證件相當於中華民國國內各級合法學校授予之相當學位。

6. The diploma(s) I present are valid and legally awarded in the country where I

graduated and are equivalent to the degree conferred by accredited schools and

universities in Republic of China.

七、本人上述所陳之任一事項及提供之所有申請相關文件，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，本人願依相關辦

法被撤銷入學資格、開除學籍或取銷畢業資格，絕無異議。貴校可不發給任何學歷證明。

7. I authorize NTU to verify the above statements and all documents I provided for the application. And I authorize all corporations, companies, educational institutions, persons and former employers to release information they may have about me, and release them from any liability for doing so. If there is any false declaration, I will accept the consequences as immediate cancellation of my admission; the deprivation of my status as a NTU registered student; or revocation of my diploma. NTU has the right not to issue any certificates to me.

申請（具結）人簽名日期

Applicant’s（Recognizer’s）

Signature_________________ Date_______M_______D_________Y

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Attachment 3-2

Date:___________________ Name（in print）:__________________

Signature:_______________________

5. I understand that during my stay in the ROC, only those matters related to the training program will be settled in accordance with the TaiwanICDF’s / NTU’s rules and regulations, and that the TaiwanICDF’s / NTU’s decision will be final and will be implemented accordingly. Cases irrelevant to the training program shall be otherwise of my own responsibilities and at my own cost.

4. I fully agree that the TaiwanICDF has the right to terminate the scholarship if, during my stay in the ROC, my behavior causes any difficulties for the management of the Taiwan ICDF or the training institution.

1.4 Not bring with me any family members or friends.

1.3 Bear any additional expenses or risks incurred as a result of any changes initiated by myself.

1.2 Not seek employment or engage in any political activities.

1.1 Fulfill due performance as required in attendance.

3. I hereby undertake to abide by the laws of the Republic of China during my stay in Taiwan and undertake to do the following:

2. I declare that I am not suffering from any serious or chronic disease and that I am not hindered in the performance of my duties by any illness or disability:

1. I hereby declare that the information as provided by me in this document is true and accurate. I understand and accept that any false declaration of information on my part will disqualify me from the program, even when it is in progress.

DECLARATION II

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Attachment 4-1 MEDICAL REPORT（Ⅰ）

INSTRUCTIONS：To be completed by a registered medical practitioner after thorough clinical and laboratory examination X-ray of chest. HIV test. The NTU reserves the right to require the candidate to undergo a future medical examination after he（she）arrives in the Republic of China.

Date：

RE： Date of Birth： Last Name of Candidate First

Address：

（To be filled in by Candidate）

1. Have you ever had or have you now：

（Check each item） YES NO （Check each item） YES NOAny heart disease？……………………… Frequent indigestion？…………………… Severe pain or pressure in chest？……… Depression of excessive worry or anxiety？…… Pressmen cough？………………………… Fainting spells？………………………… Tuberculosis？…………………………… Epilepsy or fits？………………………… Diabetes？………………………………… Any nervous or mental disorders？……… Backache？……………………………… Foot or leg conditions？………………… Hernia（rupture）？……………………… Any skin Disease？……………………… High blood pressure？…………………… Malaria？………………………………… Any allergies？…………………………… Amoebic dysentery？……………………

2. Please give details of all serious illnesses, injuries or operations：

（Type of illness or operation）（Period of disability）

3. Do you take any medications regularly？

if so, what？

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Attachment 4-1 4. Do you have condition or defect which may require future treatment during your

fellowship？

I certify that above statement are true, complete and correct to the best of my knowledge and belief.

（Signature of Candidate）

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Attachment 4-2 MEDICAL REPORT（Ⅱ）

INSTRUCTIONS：To be completed by a registered medical practitioner after clinical and laboratory examination including HIV test. THE TRAINING INSTUTION WILL REQUIRE THE CANDIDATE TO UNDESGO A FURTHER HIV TEST AFTER HE （SHE）ARRIVES IN THE REPUBLIC OF CHINA. THE CANDIDATE WITH POSITIVE TEST RESULT WILL BE REJECTED AND SENT BACK HOME IMMEDIATELY.

Name of Candidate： Date：

Address：

Please examine the following conditions of the candidate：

1. A. HIV test Serological Test for Syphilis：

B. TB test □Positive □Negative

2. A. Heart disease

B. Diabetes

C. High blood pressure

D. Malaria

E. Liver Function

□is□is not

In the opinion of the examining physician, the candidate fit for this fellowship.

（Seal of Hospital or Clinic）

Name of Clinic Name of Physician, Title

Address and Telephone Number Signature of Examining Physician

of 4

Applying for: National Taiwan University (NTU)

Agricultural Economics Master Program

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

International Cooperation and Development Fund

MEDICAL REPORT FOR

International Higher Education Scholarship Programs 2010

PART 1: HEALTH DECLARATION PART 2: MEDICAL EXAMINATION FORM

Signature Date

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

☆National Taiwan University (NTU) reserves the right to require the applicant to undergo a future medical

examination after he/she arrives in the Republic of China (Taiwan).

Applying for: Agricultural Economics Master Program, NTU

Page 2 of 4

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 Migraine Asthma Tuberculosis (PTB) Hypertension (HPT) Diabetes Mellitus (DM) Heart Diseases Malaria

□ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □

Thyroid Diseases Kidney Diseases Cancer HIV/AIDS Venereal Diseases Leukemia Hemophilia 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

PHOTO

Yes No Yes No


Page 3 of 4

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： BLOOD PRESSURE：

cm / mmHg

WEIGHT： PULSE RATE：

kg /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


Page 4 of 4

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

Attachment 5

Check List

Applicant’s Name：____________________________

Department or Institute Division

Phone Number__ ______ E-mail__ _________

Graduated？ □Yes □No If no, Date of（Expected）Graduation _______M______Y

********************************************************************************************************** A complete application must include the followings; all documents must be arranged in the following order without

other binding. Tick the items you submit. Please read instruction first before preparing the documents. Whether you are admitted or not, no application documents will be returned.

Tick Items of Documents Copies

1. Check List 1

2. Application Form 3

3. Photocopy of the Original Diploma 2 4. Original Transcripts Issued and Stamped by the Institution 2 5. Study Plan 1 6. Letters of Recommendation 2 7. Health Examination Certificate , and (including an HIV test) 1

8. Declaration Form and 1

9. Authorization Form 1

10. Photocopy of Passport 1 11. An Evidence of English Proficiency 1

12. Other requirements by the department/institute or documents in favor of application (if applicable)

Please specify

Application Number：

Word 書籤IntroductionofNationalTaiwanUniversiIntroductionoftheAgriculturalEconomiIntroductionoftheAgriculturalEconomiIQualificationIntroductionoftheAgriculturalEconomiIIAdmissionIntroductionoftheAgriculturalEconomiIIIIntroductionoftheAgriculturalEconomiIVApplicationFormIntroductionoftheAgriculturalEconomiVIntroductionoftheAgriculturalEconomiVIAttachment1Attachment2Attachment31Attachment32Attachment41Attachment42Attachment5