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register@ircadtaiwan.com.tw
+ 886 4 781 2988, + 886 4 781 2228
+ 886 4-707-3222

ONLINE PRE-REGISTRATION

REQUIRED FIELDS ARE INDICATED WITH *

PERSONAL DATA

FIRST NAME:*
LAST NAME:*
DATE OF BIRTH:*
GENDER:*
YOUR NATIONALITY:*
E-MAIL:*
TELEPHONE:*
-
EX：886-975617114
ADDRESS:*
/ /
MARITAL STATUS:*
LANGUAGES:*
ENGLISH: / / | MANDARIN: / /
OTHER LANGUAGE(S):
Please upload your CV (required):*

INSTITUTIONAL AFFILIATION

EDUCATION

SCHOOL: *
PERIOD:
GRADUATE:*
DEGREE:*

CURRENT POSITION

INSTITUTION: *
LOCATION (City /Country):
PRESENT POSITION:*
YEAR IN POSITION:

licensure

COUNTRY/STATE:
DATE ISSUED:
Please upload your Medical License (required):*

PROPOSED START DATE & LENGTH OF FELLOWSHIP

INTENDED FIELD OF INTEREST:*
INTENDED LENGTH OF STAY (MONTHS):*
INTENDED START OF STAY:*
FROM    TO 

NOTICE

1.Submit the ONLINE PRE-REGISTRATION
2.Submit the REQUIRED DOCUMENTS (in English or Chinese) to register@ircadtaiwan.com.tw
3.Contact our Course Manager to confirm program starting date

REQUIRED DOCUMENTS (IN ENGLISH / CHINESE)

One 2x2 in Color ID Photo (Formal)
A copy of Passport (at least valid for 6 months)
Curriculum Vitae (CV)
A copy of Diploma (Bachelor, Master, and/or Ph.D. and notarized if necessary)
A copy of Medical Practice License (in English)
A copy of Certificate of Working Experience more than one year (in English)
A copy of Certificate of Current Employment at least within 6 months of date (in English)
2 Recommendation Letters (at least one is required, two is preferred)
A Letter of Intent to Director Dr. Wayne Shih-Wei Huang (include your purpose of study, exact duration of your stay, intended field of interest, & possible clinical project in this program)
English Health Report (Please read below)
Any other supplement materials (in English or Chinese)

HEALTH REPORT (IN ENGLISH / CHINESE)

Preliminary Health Report is required at time of application
Another Health Report is required to be done within a year from fellowship starting date before you arrive Taiwan
For fellowship duration WITHIN 3 months = English Health Report MUST CONTAIN Chest X-ray, Hepatitis B & C
For fellowship duration OVER 3 months = English Health Report MUST CONTAIN Chest X-ray, Hepatitis B & C, RPR(STS)/VDRLtest, Measles, Rubella (MMR)
If results show POSITIVE for either Hepatitis B & C, RPR(STS)/VDRLtest, Measles, Rubella (MMR), please also kindly show report of vaccination