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Name: Address:
Email: City:
Gender: malefemale Country:
Marriage Status:SingleMarried Postal code:
Age:Years Occupation:
Skype: MSN:
Home Tel/Fax: Mobile Phone:
Application Time:
Specialty in which you are interested, such as Basic TCM Theory, Diagnostics, Prescription, Acupuncture, Moxibution, Qigong, (tuina) Massage, Materia Medica, Internal Medicine, etc.
1. Proposed Date Of Entry And How Long You Wish To Study Here
2. Proficiency In English (Choose One)
  • proficient
  • common
  • not so good
3. Current Qualifications (Choose One)
  • Master
  • Bachelor
  • University Still
  • Senior Middle School
Current Qualification Awarding Institution:
Specialty: Diploma Awarded Date:
4. Courses You Want To Learn In Our Hospital
  • Acupuncture
  • Moxibustion
  • Basic Theory Of TCM
  • Diagnostics
  • Materia Medica
  • Prescription
  • Massage (Tui Na)
  • Internal Medicine
  • Gynaecology
  • Paediatrics
  • Dermatology
  • Dietary Therapy
  • Taiji
  • Qigong
More demands here for you. Also please let us know more information about your group that will attend our study program
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