Application form

*Have you already registered with the SRM contact person?:

Yes, I have.
No, I haven't

*Full name:

*Email:

*Department (SRM):

*Current grade/year:

*Date of birth:

I would like to take the course:

IC Design for Communication Interfaces (Prof. Chua-Chin Wang)

I would like to take the course:

System-on-Chip Testing (Prof. Tong-Yu Hsieh)

I would like to take the course:

System-on-Chip Design (Prof. Xin-Yu Shih)

*Headshot:

Upload a recent headshot (JPEG/PNG, max 40MB).

*Passport bio page:

Upload a copy of your passport bio page (PDF/JPEG, max 40MB).
Students who do not have a passport may upload another valid ID card (such as government-issued ID Card or Student card).

*I understand that:

I must pay the tuition fee and submit the payment receipt after submitting this application.

Note:

Any additional information or special requests.

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