ࡱ> GIFU R0bjbjnn24aa-  8$ dXnnnnn$ #8EnnHLnn%np} :@b0,#z|0$%#4 $$%0$ V `: w^'Yx[Wf( YNNYPnje3uˊU ; YPnje^W%Ngg R000%}nje 0%Wf Y  N njeUMOY TNotes idx[_S Y  N njeUMOY TNotes idx[_ ====================================================================== Y3uˊU Wf( ,gNY Npt,g!kPWf(Ngg R/}nje/Wf &N Ta NRf @bPKNnjee,gNKNPgQ ,gNXO{N gNUO dX0z1Yb>gxk XOWf(P[Ut &NNRQN U}!qpup0 YN (=| T) -Nl W t^ g e Wf(yr%Rf: 1.YNSYNP,g!hYewTu0 2.SYN0R(tPBfQ:yYNSSYNKNIN0 3.,g3uˊUSeWf(} N 0 N \@S 0 N 0 The CGU Library Proxy Borrower Authorization Form for Eligible Patrons ; Material type %Back issue0%Audio-visual material %Book BorrowerDepartmentNameNotes /Student ID Proxy BorrowerDepartmentNameNotes /Student ID ====================================================================== Proxy Borrower Authorization Form To the 91è Library, I have authorized _______ to be the proxy borrower to borrow back issues of journals, audio-visual materials, and/or books. I agree that if the back issues of journals, visual-audio materials, books are damaged, lost or overdue during my loan period, I would compensate for the loss according the Library regulations without any objection. Borrower: (Signature) Date: / / Note:  &(*.hjl|~~  Ǽǜǜǜǜǜzzh.>*CJOJPJo(h.CJ OJPJh.CJ OJPJo(h.OJPJh.h.CJOJPJh.CJOJPJh.CJOJPJo(h.OJPJo(h.>*CJOJPJh2>*CJ OJPJo(h.>*CJ OJPJh.>*CJ OJPJo(,(*jl~WN $Ifgducgkd$$If7#D%0D%644 aytuc $$G$Ifa$gduc$e3G$VDjWD^e`3a$gd.$G$VDjWD^`a$gd. $G$a$gd. $G$Ifgduc $$G$Ifa$gduc $Ifgduc9+ $$G$Ifa$gduckd$$IfFֈ d#8p 0D%644 aytucv $G$Ifgduc $$G$Ifa$gduc $IfgducgkdT$$If7#D%0D%644 aytuc 94!UD*VDjWDj]`gd.gd.kd$$Ifֈ d#8p 0D%644 aytuc  & ` $ & $G$a$gdqgd[m $G$a$gd. WD`gd.G$gd. G$WD`gd.$a$gd.$a$gd. $ & ^ ` $ & ( * ӹ{iYJh3hqOJPJQJ^JhZhqOJPJQJ^Jo(#h3hq>*CJOJPJQJ^J)h3hq5CJ OJPJQJ\^Jo(&h3hq5CJ OJPJQJ\^JhV~OJQJ^Jo(h1OJQJ^Jh3h1OJQJ^Jh.>*CJOJPJo(h.CJOJPJo(h.CJOJPJh.5OJPJ\h.5OJPJ\o(* H J ` b  " D F j l 34ŵŵŦo^M hq>*CJOJPJQJ^Jo( h_p7hqCJOJPJQJ^J h3hqCJ OJPJQJ^J&h3hq5CJ OJPJQJ\^J#h3hqCJOJPJQJ^Jo(h3hqOJPJQJ^Jh3hqOJPJQJ^Jo( hZhq h3hqCJOJPJQJ^J#h_p7hqCJOJPJQJ^Jo( h3hqCJOJPJQJ^J& ]TTTT $Ifgd{xikd$$If7#D%0D%644 ayt{x $$G$Ifa$gd{x$e3G$VDjWD^e`3a$gdq$G$VDjWD^`a$gdq  + $$G$Ifa$gd{xkd4$$IfFֈn #Y 0D%644 ayt{x $G$Ifgd{x 6 8 B D h j ~s $G$Ifgd{x $$G$Ifa$gd{x $Ifgd{xikd$$If7#D%0D%644 ayt{xj l n 61UD*VDjWDj]`gdqgdqkd$$Ifֈn #Y 0D%644 ayt{x 45./000000gdR gd[m  & FG$VDgdqG$gdq `4$G$]`gdq `G$]`gdq G$WD`gdq$a$gdq$a$gdq.00000000000ͽh{xjh{xUhqhqOJQJ^Jo(U h3hqCJOJPJQJ^J#h3hqCJOJPJQJ^Jo(hqCJOJPJQJ^Jo(The borrower and the proxy borrower should be the students, teachers, or staff of Chang Gung University. Please bring the borrower s and proxy borrower s identification with this application form to the library circulation counter. This application form can be downloaded from the Chang Gung University Library website under the Download tab.     0000000gd[mgdR 01h2P. A!"#$%S $$If!vh#vD%:V 70D%6,5D%4 aytuc$$If!vh#v#v#v8#vp#v#v :V F0D%6,55585p55 4 aytuc$$If!vh#vD%:V 70D%6,5D%4 aytuc$$If!vh#v#v#v8#vp#v#v :V 0D%6,55585p55 4 aytuc$$If!vh#vD%:V 70D%6,5D%4 ayt{x$$If!vh#v#v#v#v#v#vY :V F0D%6,555555Y 4 ayt{x$$If!vh#vD%:V 70D%6,5D%4 ayt{x$$If!vh#v#v#v#v#v#vY :V 0D%6,555555Y 4 ayt{xZh[JY*Y\w$EPC^8 \ s666666666vvvvvvvvv666666>666666666666666666666666666666666666666666666666hH66666666666666666666666666666666666666666666666666666666666666666p62 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ OJPJQJ_HmH nHsH tHL`L [mgQe1$(CJKHOJQJ_HaJmH nHsH tH$A $ -k=W[WBi@B 0h\9r G$CJaJ:/A: R 0>\ W[CQCJOJPJQJ^JaJ0@R0 Z nUk=VD^^@b@ )y0;㉹eJXeW[CJOJPJQJ^JaJB/qB )y0 ;㉹eJXeW[ W[CQCJOJPJQJ^JaJPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭Vhh)1 GHgq]R%kXѹw{uH:}VDp[>UrؘӖ{m/4\ e1n ݳg>4!1A-7bS, #~p &,dZ'FX)jub˓ aٟ}ٓ?^{f9GDr`D ;/K_&-!%\".B-?xtdFTl/ 5g2'<߫s @&WzܟVr}fgX Z|wjk۾xJ{~?(xJ3 kz^BJ tɯUjsȄVxJ|jȫKN1aVkɒ>$"AbG,fxFPd/!E2 f(fKRT#f-y1$8|hWW=yw{zӻ+<˟߿xz{X*G"Eǰܽb;UK8$LU rPI=C,$ EC_jP˳&6[- Q '! :k~ j_F:n-wo4w\@v5jFVW+IfU*mnl+O#W:/PK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 0_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!ijtheme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK] ;4  * 0 &  j 00 T # @H 0(  0(  B S  ?&+67:;@BPSXY\]bdru_adhpqw~"#01HI-/023568<89Z[-<ss336O5-/023568<f,\^`\o(. ^` 0 ^` . ^` .`  ^` ` 0@  ^@ ` .  ^ ` . ^` 0 ^` .f        $R ^q)y%6_p72C@8DE}GI,PBWZuc[m{xM*xn3?PV~2|U.q=#9GoSz1-/@,,,,@; @.Unknown G.[x Times New Roman5Symbol3. .[x Arial/M jwiԚ7..{$ Calibri3. D( _ߎckўԚC(e0}fԚPMingLiU;U   (^POP1ԚW7C.,.{$ Calibri LightA$BCambria Math"1hxeG:':' B B !**KQHP  $P[m2! xx, Q{m 1cgu<dt i Z'`IZ' Oh+'0d    , 8DLT\O \Normalcgu12Microsoft Office Word@캃@@<e(@VB ՜.+,0 hp|   *  Title  !"$%&'()*+,-./012345789:;<=?@ABCDEHRoot Entry FN JData 1Table#@$WordDocument24SummaryInformation(6DocumentSummaryInformation8>CompObjn  FMicrosoft Word 97-2003 MSWordDocWord.Document.89q