東海大學雙聯學位說明會報名表單 THU Dual Degree Program Orientation Application Form

中文姓名 Chinese Name

外籍生可不填寫
Optional for foreign students
英文姓名 English Name *
學號 Student ID *
手機號碼 Cell Phone Number *

請依照以下格式填寫 Please follow this format 09XXXXXXXX
Email *

請提供最常用Email以免遺漏訊息 Please provide the most often used email to prevent missing message
性別 Gender *

性別 Gender 男 Male 女 Female
學制 Type of Degree *

學制 Type of Degree 日間學士班 Regular Bachelor 進修學士班 Bachelor of Continuing Education 碩士班 Master 博士班 PhD
學系/學位學程 Department/Program *
就讀年級 Year of Study *
身分別 Enrollment Status *
申請說明會場次/Name of Applying Orientation *
本人同意報名所填各項資料，由貴校依據「個人資料保護法」等相關法令規定，為必要之資訊應用，處理相關事宜。
I hereby confirm all registration information to be used for handling the relevant matters as the required application information by the school according to the pertinent regulation of the “Personal Information Protection Act”.
是 YES