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Y T Name t^} Year x[_ Student ID No. [Se Expected Departure date[ ?b_ Dorm Room No. b U MO Administrative officetN Descriptiont`b_ NotesbUMO=|z Office StampԚ[ Office of Physical EducationԚ(uTg8h Return borrowed items[uOePD} Health Care SectionP(uirTg8h Return necessary equipments,& etc.[ v Dormitory SupervisorsOO[u[g8h Check out and return the room keysWf( LibraryPf}g8h Confirm your Circulation Record (all borrowed books returned/overdue fees paid)Q } Cashier Office k>kg8h Confirm your unpaid feesYeRURD} Curriculum Section, Office of Academic AffairsYewQP(ug8h Return borrowed itemsYeRU;QD} Registry Section, Office of Academic AffaiH      N ʻ{l\l\M{hvPhxVCJOJQJaJh$>dh$>dOJPJQJ^Jo(h$>dh$>dOJPJQJ^J hvPhDCJOJPJQJaJ hvPhxVCJOJPJQJaJhvPhDOJPJQJ^JhvPhupOJPJQJ^JhvPhxVOJPJQJ^J$hvPhDCJOJPJQJ^JaJhvPhDOJQJ^JaJh#hvPhDKHOJQJ^JaJhH$d$Ifa$gdD d$IfgdH( $$Ifa$gdD$d$Ifa$gdD $d4$a$gdxV $da$gdDG$H$gdD  9**$d$Ifa$gdDkd$$If4    *ֈ\ d# ) T g0     )4 af4ytD   N P Z v x $d$Ifa$gdD$d$Ifa$gdD$d$Ifa$gdD $$Ifa$gdDN P Z d f v x z    " \ j x " $ & ( 2 \ ^ n hvPhNUOJPJQJ^Jh$>dh$>dOJPJQJ^Jo(hvPh~OJPJQJ^Jh$>dh$>dOJPJQJ^JhvPhxVOJPJQJ^JhvPh$>dOJPJQJ^Jo(hvPh$>dOJPJQJ^JhvPhDOJPJQJ^J3x z 9**$d$Ifa$gdDkd$$If4    *ֈ\ d# ) T g0     )4 af4ytD   Dkd$$If4    "\$ d )$ @ T S 0     )4 af4ytxV$d$Ifa$gdD $$Ifa$gdD " \ j Pkd$$If4    \$ d )$ @ T S 0     )4 af4yt9$d$Ifa$gdD " $ & ( 2 ^ n Pkd$$If4    \$ d )$ @ T S 0     )4 af4yt9$d$Ifa$gdD PA$d$Ifa$gd~kd$$If4    \$ d )$ @ T S 0     )4 af4ytxV$d$Ifa$gdD Z \ j x ****n*p*r*t*v*x**n+׹׹ȚȘȚ׍׀sshvPh(OJQJ^JhvPh 9ZOJQJ^Jh$>dh$>dOJQJUhvPh~OJPJQJ^Jh$>dh$>dOJPJQJ^Jo(h$>dh$>dOJPJQJ^JhvPhxVOJPJQJ^JhvPhDOJPJQJ^JhvPhDOJQJ^Jh$>dh$>dOJQJ^J* Akdl$$If4    \$ d )$ @ T S 0     )4 af4yt9$d$Ifa$gdD$d$Ifa$gd$>d \ j PkdX$$If4    a\$ d )$ @ T S 0     )4 af4yt9$d$Ifa$gdD **p*r*PAA$d$Ifa$gd~kdD$$If4    :\$ d )$ @ T S 0     )4 af4ytxV$d$Ifa$gdDrs x[uIs~Vg8h Student Card stamped to note deregistration Notes: All exchange students must complete the deregistration procedure and submit this form to Office of Academic Affairs ( Registry Section ) before leaving Chang Gung University. OIA will send two copies of your official transcript (one for the student and one for the home university coordinator) in both Chinese and English to the international office at student's home university by post about 2-3 months after the exchange period ends. No transcripts will be mailed directly to students. The Student Safety Insurance is valid until the end of July.     r*t*v*x**+X.PKKCC & Fgd9gd(kd0$$If4    \$ d )$ @  T  S 0     )4 af4yt9$d$Ifa$gdDn+p+r+t+++++++++++++----V.X.x......ͳpaRJFhMzjhMzUhvPhS*OJPJQJ^JhvPhxVOJPJQJ^JhvPh9OJPJQJ^JhvPh(OJPJQJ^JhvPhKOJQJ^JhvPhS*OJQJ^Jh OJQJ^Jo(hvPh9OJQJ^JhvPh 9ZOJQJ^JhvPh(OJQJ^Jh| h| OJQJ^JhV<h| OJQJ^Jh| OJQJ^Jo(X............gd$>d & Fd4$]gd9 .............hvPhS*OJPJQJ^JhDjhMzUhMz 61h2P:pD. 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