Application Form ICDF

TaiwanICDF International Higher Education Scholarship Programs
2015 SCHOLARSHIP APPLICATION FORM
NOTE: Please fill in this form online at http://www.icdf.org.tw/TSP/Welcome.aspx (typewritten applications are preferred; please handwrite only if you are not able to access a computer). Incomplete applications and/or applications received after the closing date will not be considered.
Applying for: Kaohsiung Medical University (KMU) (University)
Bachelor Program in Medical Laboratory Sciences and Biotechnology (Program)
Degree: Bachelor
SECTION I: PERSONAL DETAILS
Name:
Tommy ziah Joseph

Nationality: St. Lucia
Date of Birth (dd-mm- yyyy):13-11-1990

Gender: ■Male □Female
Marital Status: Single
Age: 25

Permanent Address: babonneau
Contact Number: 1758-2841524
E-mail Address: [e-mail]
SECTION II: EDUCATIONAL BACKGROUND (the highest diploma)
Institution Attended: Sir Arthur Lewis Community College
Course of Study: Sociolgy,Accounts,Business
Dates of Attendance (mm-yyyy):
Certificate/ Diploma Obtained: A level Cambridge Certificate(GCE)
From 09-2007 To 07-2009
Institution Attended: St Marys College
Course of Study: Biology,Chemistry,Physics,Infomation Tech,Accounts,Spanish,French,Math,English A,Social Studies
Dates of Attendance (mm-yyyy):
Certificate/ Diploma Obtained: CXC CERTIFICATE(GED)
From 09-2002 To 07-2007
Have you previously been a recipient of the Taiwan Scholarship?
□Yes, total year(s) ■No
SECTION III: WORK EXPERIENCE (if any)
Name of Previous Company: Bank of Saint Lucia
Job Position: Teller
Dates of Employment (mm-yyyy):
Type Of Organization: public

Work Content: Management of cash
From 08-2010 To 03-2015
Name of Previous Company: Philip J pierre Business Services
Job Position: Accounts Clerk
Dates of Employment (mm-yyyy):
Type Of Organization: private
From 07-2009 To 08-2010
Work Content: Accounting

SECTION IV: CONTACT PERSON (in case of emergency)
Name: Sandra Justin
Address: Babonneau