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Applicant Name in Chinese & English
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Age
|
Birth Date & Place
Birth Date:
Birth Place: |
Attach Applicant's 2 in. Photo
(Print your name &
phone number on the back)
|
|
Passport:
□ U.S.
□ Taiwan
Passport Number:
|
Sex
□ Male
□ Female
|
Parents' Native Places
|
|
Spoken Language:
(Check as many as applicable)
□ English
□ Holo (Taiwanese)
□ Mandarin
□ Hakka
□ Other: |
Applicant
Address:
Tel:
( )
Fax: ( )
Cell: ( )
E-Mail:
|
Parents
Mother's Name:
In Chinese:
In English:
Father's Name:
In Chinese:
In English:
Address:
Tel: ( )
Fax: ( )
Email:___________________________________
|
|
School (or Employer):
Major:
Year:
|
|
Outbound
Rendezvous
□ Taoyuan International Airport
□ Tsunah Office in Taipei
|
Return
Flight Options
□ Return with Group
□ Self Arrangement
|
|
Name
of Contact in Taiwan
|
Relationship
|
Telephone Number in Taiwan
|
Address in Taiwan
|
|
Applicant Signature: ___________________________ Date: __________________________
|
Notes:
- The tour capacity is limited to a maximum of 35 people.
Please sign up as early as possible.
- Make your flight arrangement early. Please note that the
tour schedule coincides with the holidays travel season to
Taiwan. It may not be easy to purchase the tickets if you
put off too late.
- Make sure you have a valid passport/visa. If one is expired,
please renew it as soon as possible. For those who hold Taiwanese
passport, be sure to apply for an Exit Permit upon arriving
in Taoyuan International Airport. For those who hold U.S. passport and plan
to stay in Taiwan after the tour for a total of more than
30 days, be sure to apply for a Taiwanese Visa in one of the
TECO offices prior to the tour. No visa is required if staying
less than 30 days in Taiwan.
- For more information about the foundation and prior tours,
go to Web site:
www.taiwancenter.com/tsunah.
- Registration deadline: October 31, 2007
- Registration fee: US$850.00. Please mail
the check payable to Tsunah
Foundation and the completed
application form to:
Tsunah Foundation
C/O Justina Wu
2139 Calle Guaymas
La Jolla, CA 92037-6914
|
|
Official Use Only
Check Amount: ___________ No. __________
Date: ______________
Official Signature: ____________ Date: ________________
|