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                      Puli Christian Hospital   

  

«Å ±Ð ¤h Âå Å@ °V ½m ¥Ó ½Ð ªí

Application for Missionary Medical Training 

 

Name ©m¦W: _________________________________________________________

Date of Birth ¥X¥Í¤é´Á:  Day¤é_____  Month¤ë_____   Year¦~________

Sex ©Ê§O:  M¨k ______   F¤k ______

    I.D.No.¨­¤ÀÃҲΤ@½s¸¹ : ____________________________________________

Present Address ³q°T¦a§} :

____________________________________________________________________

Tel¹q¸Ü¡G                        _____________________________________________________________________

Church ±Ð ·| : _____________________________________________________________________

Mission Board ®t ·| : _____________________________________________________________________

 

Education ±Ð ¨| :

         School  ¾Ç  ®Õ            Graduation Date²¦·~¤é´Á      Degree ¾Ç¦ì   

                                                                              

                                                                              

                                                                              

 

Work Experience  ¤u§@¸g¾ú :            ­Ó¤H¿³½ì¡G               ­Ó¤H±Mªø¡G

                    

                                                                              

                                                                              

                                                                              

 

Christian Service ±Ð·|ªA¨Æ¡G

         Church  ±Ð ·|            Position  ¾ ºÙ            Date ¤é ´Á

                                                                              

                                                                              

                                                                              

 

 

                  Signature  ñ ¦r : ______________________________________

¡° ½Ðªþ¤W¤@½g­Ó¤H±o±Ï¡A»P»X¥l¨£ÃÒ (2000¦r¥H¤W)

Letter of Recommendation

±À ÂË «H

From Church or Mission Board to Puli Christian Hospital

±Ð ·| ©Î ®t ·| µ¹ ®H ¨½ °ò ·þ ±Ð Âå °|

 

  This letter is to recommend the following student for Missionary Medical Training at

Puli Christian Hospital .

   ¥» «H ±À ÂË   _______________ §Ì¥S/©j©f  ¦Ü ®H ¨½ °ò ·þ ±Ð Âå °| ¾Ç ²ß «Å ±Ð ¤h Âå Å@ °V ½m ½Ò µ{ .

Comments:

±À ÂË ¤º ®e :

__________________________________________________________________________________

______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Name of Church or Mission Board

±Ð·|©Î®t·|¦W  ______________________________________________________________________

 

Seal or signature ñ ³¹

 

 

 

 

 

 

 


Date ¤é´Á : _______¦~_______¤ë_______¤é