外国留学生、侨生及华裔学生工作许可申请书

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1、外國留學生、僑生及華裔學生工作許可申請書ApplicationFormofWorkPermitforForeignStudents,OverseasChineseStudentsandEthnicChineseStudents申請類別：（請勾選）Categoriesofapplication:(Pleasecheckone)□外國留學生foreignstudents□僑生overseasChinesestudents□華裔學生ethnicChinesestudents申請項目：（請擇一勾選）Typesofapplic

2、ation(Pleasecheckone)□工作許可workpermit□補件documentsupplement□補發許可permitre-issue□其他other申請人姓名（中文）Nameofapplicant(Chinese)性別Gender申請人姓名（英文）Nameofapplicant(English)國籍（地區）Nationality護照號碼Passportnumber居留證統一證號ARCIDnumber出生年月日Dateofbirth年（Y）　月（M）　日（D）聯絡電話Phonenumber就讀學校S

3、choolattended日夜別Day/Night就讀系所College/Department年級Year通訊地址Mailingaddress□□□縣(County)　鄉鎮(Township)　　村(Vil.)　路(Rd.)　　段(Sec.)　巷(Lane)弄(Alley)　號(No.)　樓(F.)市(City)　市(City)區(District)　　街(St.)申請許可期間Applicationtime年（Y）　月（M）　日（D）至年（Y）　月（M）　日（D）（許可期間最長六個月）(validforsixmont

4、hsmaximum)緊急連絡人Emergencycontactperson姓名Name電話Tel申請人簽章Signatureorstampofapplicant就讀學校同意證明ApprovedbytheDept./Inst.（Stampisnecessary）（學生輔導單位戳章）學生輔導單位主管簽章Dep./Inst.Director’sSignatureorStamp（請註明核章日期）學生證影本（正面）CopyofStudentIDCard(front)學生證影本（反面）CopyofStudentIDCard(ba

5、ck)□欲親自取件者請打「ˇ」並加附【親自取件聲明書】。Pleasecheckifpick-upinperson(withdeclarationsheet)收文章Filingstamp收文號FilingnumberDocumentsRequiredforApplicationandtheRelatedNotes(forStudents)1)Eligiblecandidates:1.Foreignstudentsstudyingatnationalorregisteredprivateuniversitiesinacc

6、ordancewith“RegulationsRegardingInternationalStudentsUndertakingStudiesinTaiwan.”2.OverseasChinesestudentsassistedforenrollmentinaccordancewith“RegulationsRegardingStudyandCounselingAssistanceforOverseasChineseStudentsinTaiwan.”3.HongKongandMacaostudentsenrolle

7、dinaccordancewith“RegulationsRegardingHongKongandMacaoCitizensUndertakingStudiesinTaiwan.”2)Documentsrequired(arrangedinproperorder):1.ApplicationForm(TheapplicationforWorkPermithastobeagreedbyKMUbeforehand.Theapplicationformshouldbeaffixedwiththeofficialsealof

8、KMU’scounselingdepartment,andthesignatureorsealofthedepartmentalhead.)2.AphotocopyofStudentIDCard(Itshouldbedirectlyadheredtotheapplicationform.Onthebacksideofthephotocopyha