2026 西班牙暑期牙醫營官方正式報名表 | CEU 聖保羅大學基金會亞太代表處

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Official Registration Form
2026 Spain Summer Dental Program

Welcome to the official registration stage!
Completion of this program includes a Certificate of Completion, beneficial for future university applications.
Please have your required documents ready for upload. The information provided will be used for program enrollment, visa processing, and the issuance of your completion certificates.

Required Documents:

- Passport Copy

- Academic Transcript

- Statement of Interest

- Proof of English proficiency

Section 1: Personal Information / 個人資訊

1. Full Name (As shown on Passport)*

2. Gender / 性別*

Male 男

Female 女

3. Date of Birth*

YYYY/MM/DD

4. Nationality / 國籍*

5. Passport Number / 護照號碼*

6. School / 就讀學校*

7. Grade*

Section 2: Contact Details

8. Student Email / 學生電子信箱*

9. Student Mobile Number / 學生手機號碼*

10. Parent/Guardian Emergency Contact Name / 緊急聯絡人姓名*

11. Emergency Contact Phone Number / 緊急連絡人電話*

Section 3: Health & Logistics / 健康狀況與後勤

12. Dietary Restrictions / 飲食禁忌*

e.g., No beef, Vegetarian, Nut allergies 如:不吃牛肉、素食、堅果過敏

13. Medical Conditions or Allergies *

14. T-Shirt Size For Dental Camp Uniform*

Section 4: Document Upload

15. Passport Copy (ID Page) *

16. Recent Academic Transcript / 最近學年成績單*

17. Statement of Interest (250–500 words)*

Section 5: Consent & Submission / 同意與提交

Fee Acknowledgment / 費用確認 I understand the fee covers the Summer Dental Camp, accommodation, meals, local transport, and insurance, but excludes international airfare. 我明白上述費用涵蓋夏令營全程活動、住宿、餐飲、境內交通及保險；國際往返機票概不包含在內。

Declaration I declare that all information provided herein is true and correct.

Digital Signature / 電子簽名*

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

San Pablo CEU University Foundation

Asian Representative Office

enquiry@ceu-universities.com