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交通大學IC卡學生證補發申請表

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交通大學IC卡學生證補發申請表 Powered By Docstoc
					                      NCTU Student ID Replacement Application

Student No.:                 Name (C/E):                             ______ Dept./Inst.:                               ______

Tel. No.:                      Dorm Phone extension No.:                       E-mail:

Signature of Applicant:                                                  Date :                             (YYYY/MM/DD)

※ If the student ID you lost comes with ATM function, please report immediately to the Taiwan Business Bank
    at TEL.: 0800-007171 * 2

                □ Lost    □ Damaged       □ Transfer Department
   Reason       □Direct Admission to Doctorate □Upgrade Semester

                 Report Lost of Student           Report Lost of Student ID at            Report Lost of Student ID
                  ID at NCTU Library                Computer Center                          at the Housing Service
                                                                                             Division

                The 8th digit of the Student ID
                you are using now:
              Pay the processing fee at  Bring the Application Form and  For temporary Student
                Bursar (next to the Post   two 2 inches photos and apply    ID,please pay NT$50 and
                Office) or Information     at Registrar Division。           provide one 1 inch photo
                Service Center (1F of
                                                                            and pick-up the temporary
 Application    Administrative
                                                                            student-ID after two days.
                Building)
  Procedure                                       _________________________                  Temporary student ID must
               Processing Fee: NT$300               Student ID Pick-Up Signature             be rendered when the
                                                                                             official one is issued.

                                                  □ Rendering of Damaged Student ID        ※ The NT$50 is NOT refundable.




                                                                                           _______________________
                                                                                           Temporary Student ID Pick-Up Signature


  Processing Time:Apply before Wednesday (incl.) and pick up next Friday.
                  Apply on Thursday and pick up two weeks later.




                                                                          保存年限:1 年              表單編號:110-4-014B-01

				
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