Application Form (Taiwan)
Full Name:
NRIC:
Date of birth:
Contact No:
Email:
Please answer these questions:
1. Does your family approve you going overseas?
_____________________________________________________________________________
2. How long can you stay overseas?
_____________________________________________________________________________
3. Do you prefer backpacking, budget trip or normal trip?
_____________________________________________________________________________
4. Do you prefer free and easy or planned trip?
_____________________________________________________________________________
5. Do you prefer to move alone or in groups (how many people)?
_____________________________________________________________________________
6. What is your preference? (e.g. Shopping, Eating, Playing, etc)
_____________________________________________________________________________
7. Schedule preferences. (For people in groups, you prefer relax timing or
cram timing?
_____________________________________________________________________________
8. Approximately how much is your budget?
_____________________________________________________________________________
1
CIRCLE EITHER ONE
• Do you have medication? ------------------------------------- YES / NO
• Do you have asthma? ------------------------------------- YES/ NO
• Did you fell ill during the last six month? ----------------- YES / NO
• Any types of food you are not able/allow to eat? --------- YES / NO
If yes, please specify:
______________________________________________________
* Please note that there will be no insurance coverage. One is to take care of
oneself during the trip whole time.
Declaration
I, ____________________________ had declare that all the information given above
is authentic. If there is any deceit or false information, the person in charge will
not be accountable for it. In any condition, I were to get injured or fall sick
during the trip I held the knowledge of no insurance coverage thus claiming
none from the person in charge. Lastly, I agree with the terms and conditions
and will abide with the rules and regulations.
* Please proceed only after you had read the terms and conditions along with
the rules and regulations.
I, ______________________________, am aware of all the conditions above and
hold no responsibility on the person in charge.
_________________ __________________ ____________________
2
Application name Signature Date
* Please print out in a hardcopy and hand up to the person-in-charge.