Application Form for International Students
Kaohsiung Medical University
Academic Year: 2025 Spring Intake
According to regulations of the Ministry of Education and the Ministry of the Interior, applicants must submit
his/her birth certificate, certifications of the parents and any document that proves their parental relationship.
Documents that certify the applicant's nationality are also mandatory.
※Applicants may apply for up to 3 programs, however, please submit documents specified for each
program.
Applied Program
College of Life Sciences, Department of Medicinal and Applied Chemistry, Master's Program
Personal Information Application Number
English name Mazher Ali 113-2-550-13363
Full Name (in
Mazher Ali
Chinese)
Chuck no 18K.B p/o Qabula Tehsil Arifwala District pakpattan,
Mailing Address
Faisalabad, Pakistan, 57480
email mazherchemist401@gmail.com
Passport number SW1832871 Telephone +92-304-6393401
Nationality Pakistan Mobile Phone +92-3046393401
Gender ■Male □Female Date of Bitrth 1999 / 09 / 21
Educational Background
City and
Name of Institution Degree Duration Major
Country
University of From09 /2020
College or Agriculture, (Month/Year)
Pakistan Bs ( Hons) Chemistry
University Faisalabad, To07 /2024
Pakistan (Month/Year)
From08 /2018
Superior Boys
College or Intermediate (Month/Year)
College Pakistan Bio-Phy-Math
University pre-Medical To09 /2020
Arifwala,Pakistan
(Month/Year)
From08 /2016
Govt.Arabic Model
(Month/Year) Bio-Physics-
High School Hih School Kot Pakistan Matriculation
To07 /2018 Math
Khuda Bakhish
(Month/Year)
Chinese language ability
□ Listening □ Speaking □ Reading □ Writing
◎Have you taken any test of Chinese language?
■ No □ Yes (Please enclose the certificate in your application form.)
Parents Information Name Place of Birth Nationality
Father Muhammad Ali Pakistan Pakistan
Mother Illahi Sain Pakistan Pakistan
Have you or your parents ever held the R.O.C nationality □ Yes ■ No
Contact Person in Taiwan
Name Email Relationship
Address in
Telephone
Taiwan
Statement of Purpose
■ Taiwan Scholarship
□ Personal Savings
What are your major financial resource
■ KMU Scholarship
during your stay in KMU?
□ Parental Support
□ Other Scholarships (Please specify)
◎I certify that I have completed this application form by myself, and that all the information I have given is
correct.
◎KMU will comply with the provisions of the Personal Information Protection Act of the R.O.C.
government and relevant regulations. The personal date of the applicants will be retained by the university
and be used only for the purpose of student recruitment and statistical analysis.
Applicant’s signature: ____________________ date:_______ /_______/_______