國立中央大學保留入學資格新生入學申請表

NCU Application Form for Reenrollment

學生姓名 Name	系所 Department/ Institute	學號 Student ID No.
申請 保留期間 Granted Period of the Retention	自民國______年2月/8月至民國______年1月/7月 From February/August, ______ (Year) to January/July, ______ (Year)
申請入學 學期別 The Semester that the Applicant applies to enter	申請於 ______學年度第 ______學期入學 I apply for the reenrollment in the ______ semester of the academic year______.
通訊地址 Mailing address	電話 Phone Number
申請人 Applicant	學生家長簽章(研究生免)： Signature of the applicant’s parent(not applicable to postgraduates): 年 月 日 Year Month Day	學生簽章： Student’s signature: 年 月 日 Year Month Day
教學單位簽核及日期 Ratification and Date
1系所經辦 Clerk at the Department	2系(中心)主任/所長 Director of the Department/Center
3會簽單位 Countersign Units
住宿服務組 Student Housing Service Division	國際事務處 Office of International Affairs
地點：國際學舍1樓 Location: Ground floor of the International Student Dormitory 碩士在職專班學生無須辦理 Students of in-service master’s program do not have to go through this step.	僅僑生、外籍生和陸生須辦理 For Oversea Chinese students, foreign students and Mainland Chinese students only
教務處簽核 Ratification
4註冊組 Division of Registrar	因服兵役辦理保留者 應繳交退伍令影印本 Students who applied for student status retention to fulfill the military service must submit a copy of the Military Service Discharge Order when applying for reenrollment.

簽核順序Procedures and Instructions:

1. 系所經辦 → 2. 系(中心)主任/所長 → 3. 會簽單位 → 4. 註冊組

1. Clerk at the Department → 2. Director of the Department/Institute/Center → 3. Countersign Units → 4. Division of Registrar

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