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長庚科技大學嘉義分部 115學年度進修部新生住宿申請表
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See個資聲明

1.本申請書內相關人員資料之蒐集、處理及利用，僅供115學年新生申請住宿管理及聯繫之用。

2.申請表遞送後即同意所提交資料由宿舍運用，亦得行使查閱更正等個人資料保護法第3條的當事人權力，並由承辦單位依相關法令規定妥善保存保密。
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115學年進修部新生住宿申請書
姓名
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學號
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性別
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電子郵件
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系別
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手機號碼(09*********)
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報名宿舍工讀生
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中收、低收減免/現役軍人子女資格
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中收、低收入戶證明
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現役軍人身分證
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