臺(tái)灣、香港、澳門居民參加國(guó)家醫(yī)師資格考試實(shí)習(xí)申請(qǐng)審核表

1、m. y. m. to y. Duration: From Category of Internship: Institute of Internship: Tel: E-mail: Address: Certification No: Date of Graduation: Date of Entry: School of Graduation: Specialty: Academic Degree Obtained: d. m. y. Date of Birth: female male Sex: ID No: Region: Middle name Name: First name La

2、st name FamilyHost Institution: No: WS101 Printed by the Ministry of Health of PRC Application Form For Medical Internship Tel: E-mail: Address: Certification No: Date of Graduation: Date of Entry: School of Graduation: Specialty: Academic Degree Obtained: d. m. y. Date of Birth: female male Sex: ID

3、 No: Region: Middle name Name: First name Last name FamilyHost Institution: No: WS101 Printed by the Ministry of Health of PRC Application Form For Medical Internship Specialty: Academic Degree Obtained: d. m. y. Date of Birth: female male Sex: ID No: Region: Middle name Name: First name Last name F

4、amilyHost Institution: No: WS101 Printed by the Ministry of Health of PRC Application Form For Medical Internship m. y. m. to y. Duration: From Category of Internship: Institute of Internship: 2.Please present this form to apply for entry visa at local Police Office. take the Examinations for the Qualifications of Doctors. 1.This form is for persons coming from Tai Wan, Hong Kong and Macao who plan to Note: 21d.m. y. /Seal) (Signature of Applicant: Authorized by: m. y. m. to y. Duration: From Category of Internship: Institute of Internship: Tel: E-mail: Addres