ࡱ> egd 0Sbjbj *byy 008T*d,0iii+++++++$02 ,iiiii ,,_%_%_%i+_%i+_%_%V +\+.aUQ"g+ +,0,s+ D3)$6D3+D3+Tii_%iiiii , ,_%iii,iiiiD3iiiiiiiii0 P: w^'Yx[|QNxvzRt/]uOgh Chang Gung University Part-time Research Assistant / Student Worker Insurance Form ; k PkMOvUxN_kX Please select one answer in each category kuHh_ Project Number Y T Name ue Date of Birthl W t^ g e ROC Year Month DayRIW[_ID/ARC Number YM|NXˊkX[q}NI_ w1z Title%|QNxvzRtPart-time research assistant %|QN]uPart-time student worker XgEmployment periodl W t^ g ew From (y) (m) (d) l W t^ g ebk To (y) (m) (d)_y NX Disabled person%/f(wQ gnMQRˊjDvܕnje) Yes (please provide relevant documents to prove the disabled status) %&TNoROLabor Insurance%vMRSRlQYeNTOR0͎NONTbyzx[!hYewTO N&{TSRR]O0Those who are currently participating in the Civil Servant and Teacher Insurance, the Military Insurance or the Private School Teaching and Administrative Staff Insurance are not eligible for participating in the Labor Insurance.% g\wN]ReQR]O e,g!h|QNg dQN|QNNTReQR]O0Have a full-time job and already joined the Labor Insurance, proposed to join the Labor Insurance again as part-time staff during the employment period in CGU. % gvQ[|QwN]ReQR]O e,g!h|QNg dQN|QNNTReQR]O0Have another part-time job and already joined the Labor Insurance, proposed to join the Labor Insurance again as part-time staff during the employment period in CGU. %!qvQN\0|Qw N*gReQR]O dN|QNNTReQR]O0 Do not have any full-time or part-time job and haven't joined the Labor Insurance, proposed to join the Labor Insurance as part-time staff. %t^n65rk *gSvܕf}N fSRR]O dQN|QNNTRReQR]O065 years old or above and haven't received any relevant payment, have joined the Labor Insurance before, proposed to join the Labor Insurance again as part-time staff. %*gn65rk ]SR]Ot^f}NbvQN>ygO f}N dSRwmi}p[O0Under 65 years old and have received the labor pension or another social pension, proposed to join the Occupational Injury Insurance. %vQNSVOther reasons___________________________________________________R Labor Pension%wQlQYeNTOR0(Wy萀wQ\wRb]Oё(O)R N&{cs~Rё0Those who have the status of Civil Servant and Teacher Insurance, have the full-time status in a private company or have received the pension are not eligible for the payment of Labor Pension. %!qvQN\w N*g gvܕOё6R^O N*gf/eOё(O) R]OёKNcs~lQcR ˊnj}-N/ea0For those who do not have another full-time job and relevant pension system guarantee, or haven't received any pension, the part of labor pension will be paid out of the salary.ePONational Health Insurance%](WvQNUMORO N&{Te,g!hReQhQleP^O0Those who have joined the National Health Insurance (NHI) at another unit are not eligible to join NHI at CGU.%&{T NePObOhNKNN ae,g!hReQhQleP^O0In accordance with one of the following NHI conditions, employees should join NHI at CGU. 1.Xg> N Pg k P]\Oe0R] !q֊ke]\OBfxer^01. Employment period more than 3 months, work on every working day, regardless of the number of working hours per day. 2.Xg> N Pg ^k P]\Oe0R] vQk1]\OBfxen12\BfN N(+T12\Bf)02. Employment period more than 3 months, not workin &(R h j ¶xeRE5)h jCOJPJQJ^Jh^h^5PJRHPmH sH h^5PJRHPmH sH %h<5OJPJQJRHP^JmH sH %h jC5OJPJQJRHP^JmHsH3h^h jC5CJOJPJQJRHP^JaJmH sH h^h^mH sH hBQmH sH hBQmH o(sH h^mH sH h^h^mH o(sH *h<CJ$OJPJQJRHP^JaJ$mH sH *h jCCJ$OJPJQJRHP^JaJ$mHsH"h jCCJ$OJPJQJRHP^JaJ$(j   $xd8$If`xa$ $d$Ifa$ $d$$Ifa$$dx]^`a$gd^$dx]^`a$$ 7dx]^ `7a$     " & ( B D p r ~qZQL h jCo(h^h^PJ,h^h<CJOJPJQJ^JaJmH sH h^h^CJPJaJ&h^CJOJPJQJ^JaJmH sH $h^h jCCJOJPJQJ^JaJ h<o(h^h^PJmH sH h^PJmH sH h<OJPJQJ^Jh jCOJPJQJ^Jh^h^mH sH h^h^mH o(sH h<OJPJQJ^JmH sH  " ( D r pXLL<$d$If^a$ $d$Ifa$ 2d$If]2`gd^ 2d$If]2`ykd$$If \sK(H t *22 l4  a $IfFf $d$Ifa$ $d$G$Ifa$      V X d n x R T Z b f j l r v ϿϟϐτϟtttϿh]ttth^h^mH sH h^h^mH o(sH h jCB*OJPJQJ^Jphh<OJPJQJ^J h^PJh^h<PJh^h^PJh^h^PJmH sH h^PJmH sH h<OJPJQJ^JmH sH h jCOJPJQJ^J h<o(h<CJOJPJQJ^JaJh jCCJOJPJQJ^JaJ$   X mmaRBa$d$If^a$$dp$Ifa$gd^ $dp$Ifa$ 2d$If]2`|kd3$$If 4,\sK(H t *22 l4  af4 T x  ypppe d $G$If $$Ifa$ykd)$$If \sK(H t *22 l4  a $dp$Ifa$v x   : < :PLN "(f46ȥȌȜȜsmc^sȜmc h jCo(hBQhBQPJo( hBQPJh jC5OJPJQJ^Jh<OJPJQJ^Jh jCCJOJPJQJ^JaJhBQhBQPJ hBQo(hBQh^PJmH sH hBQhBQPJmH sH h<h jCOJPJQJ^J h<o(h^h^mH sH h^h^mH o(sH h<OJPJQJ^JmH sH $  :4$IfVkd$$If 40s($ t *22 l4  af4dp$G$If^` $$Ifa$Qkd $$If 0s($ t *22 l4  a >~4$@zqq`$ $If^` a$ $$Ifa$Vkd$$If 4[ 0s($ t *22 l4  af4 dp$G$IfgdA$ $dp$Ifa$$dp$If^`a$ <>@N|~DF N24pPR"$평xlg h<o(h<OJPJQJ^J hA$h<hA$hA$PJo( hA$PJhA$hA$PJhBQhBQmH sH hBQmH sH hBQhBQmH o(sH h<OJPJQJ^JmH sH hBQhBQPJo( hBQPJhBQhBQPJh jC5OJPJQJ^Jh jCOJPJQJ^J hBQh<'$@B`p|`b "$Tp0246l ZFH >R>T>>˺˺ѥڛѶѶ獇}vt}U h- qh<h- qh- qPJo( h- qPJh- qh- qPJ h jCo(hA$PJmH sH h<OJPJQJ^J h<o(h<hA$hA$PJo( hA$PJo( hA$PJhA$hA$PJh jC5OJPJQJ^Jh jCOJPJQJ^JhA$hA$PJmH sH -"24-Vkd, $$If 4A0s($ t *22 l4  af4$dp$Ifa$gdA$ $$Ifa$Qkdk$$If 0s($ t *22 l4  a$ $If^` a$46 H>>>?@AA|s $$Ifa$Vkd $$If 40s($ t *22 l4  af4$dp$If`a$  d$If`  d$If$If g on every working day, but the number of working hours per week is 12 hours or above.3uˊNApplicant,gN]s,ghlaN Y g N[kX[ NO kvS d XꁠNRN0 I have read all the precautions in this form in details. If there is anything untrue, which leads to the damage of insurance rights and/or interests, I am willing to bear all the responsibilities. =| T l W t^ g e Signature : ______________________ Date : ______(y)______(m)______(d) (uNUMOEmployerWeROBfHeV } ,gh}3uˊNkXY ku;NcN(UMO;N{)8hz_ ˊ# T1X0RnjeVNN[t }[8h&{TROnjkKNN0 Based on the time factor of the insurance, please return this form with other reporting for duty documents to the Personnel Office after it is filled out by the applicant and submitted by the principal investigator or the department head. The insurance will take effect on the date of approval after the applicant insurance qualification is verified by the Personnel Office. Please complete the resignation procedure 10 days before the effective resignation date if you decide to leave within the employment period. If you do not complete the resignation procedure 10 days before the effective resignation date and cause extra insurance fees, the principal investigator or the department head should be responsible for the payment. UMO(|@b)  Department : ku;NcN(萀;N{)=| T0000000000000 l W 0t^ g e Principal Investigator's (Department Head's) Signature : ________________ Date: _______SRROvܕ[laNY N: The precautions for participating in the Labor Insurance: Ol TBf]wQ gSR͎lQYeNTO0R]OY.zR adNSR N_͑bO01. According to the law, those who have multiple statuses can only participate in either the Civil Servant and Teacher Insurance, the Military Insurance or the Labor Insurance. Those insurances cannot be participated simultaneously. SP_N2NN N]\OKNR] &N&{TR]OhO,{6h,{1,{1>k,{5>k[ a1u@bl\ǖ;NR%RpvQtSRR]O02. 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