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Application Form For Admission
Passport Number:
Valid until:
Applicant's Family Name(must be same as passport):
Given Name(must be same as passport):
Gender:
Religion:
Marital Status:
Date of Birth: for example:10/10/1999
Place of Birth:
Health Condition:
Nationality:
Occupation:
TCM Education Background/Qualification in TCM:
TCM Physician:
Acupuncturist:
TCM/Acu Student:
Physiotherapist:
Home Address (actual mailing address for you to receive hard copies of application documents):
Post code:
Employer or Institute Affiliated:
Tel:
E-mail:
Highest Academic Degree Obtained:
Professional Experience: TCM Acupuncture Tuina
Membership in Professional Societies:
First Language:
Second Language:
Expect subject of Training:
Prospective Duration of Training:
Estimate Arrival Date: for example:10/10/1999
Room Required: Double Single
Name of Chinese Embassy in your nearest city that you are going to apply visa:

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  • 54 Youdian Road, Hangzhou. Zhejiang Province. P. R. China.
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