崑山科技大學學分抵免申請表 KUAN SHAN UNIVERSITY

1. 崑山科技大學成績證明申請表Kun Shan University Application Form for Transcript申請日期Date of Application:年Year月Month日Day學制School System：□ 碩士班Master Program □ 大學部Undergraduate □ 專科部College 班級Class：學號Student Number:姓名Name:出生日期Date of Birth: ＿＿年Year＿月Month＿日Day 電話TEL: ＿＿＿＿＿（現為休、退學生For suspended and Drop-out student, date of the status：年year月month）出納組繳費後擲回註冊組服務人員，可即刻列印領取Return this form to Registration Office after paying fees at the Cashier; then transcript will be printed and ready for pick-up. 申請項目Application Items內容Content工本費Fees份數Copy合計Total在校生單一學期成績證明Current student Transcript certificate for a single semester(學年學期不同請另填申請單) (Fill in another form if for different academic year or semester)____學年度Academic year第____學期Semester原學期Semester ____年級Year ____班Class 每份10元NT$10per copy在校生影印歷年成績單Photocopy of transcript for current student學生歷年成績表Student past transcript（含現為休、退學者） (including suspended and drop-out) 每份 10元 NT$10Per copy歷年成績單(領過畢業證書者)Past transcript(Diploma awarded)年月畢業(Graduate on YearMonth)每份10元NT$10per copy總計應繳工本費新臺幣Total Charge NT$：經收人：承辦人員：註冊組長：Receiving Case Officer Head of Registration Office崑山科技大學成績證明申請表Kun Shan University Application Form for Transcript申請日期Date of Application:年Year月Month日Day學制School System：□ 碩士班Master Program □ 大學部Undergraduate □ 專科部College 班級Class：學號Student Number:姓名Name:出生日期Date of Birth: ＿＿年Year＿月Month＿日Day 電話TEL: ＿＿＿＿＿（現為休、退學生For suspended and Drop-out student, date of the status：年year月month）出納組繳費後擲回註冊組服務人員，可即刻列印領取Return this form to Registration Office after paying fees at the Cashier; then transcript will be printed and ready for pick-up. 申請項目Application Items內容Content工本費Fees份數Copy合計Total在校生單一學期成績證明Current student Transcript certificate for a single semester(學年學期不同請另填申請單) (Fill in another form if for different academic year or semester)____學年度Academic year第____學期Semester原學期Semester ____年級Year ____班Class 每份10元NT$10per copy在校生影印歷年成績單Photocopy of transcript for current student學生歷年成績表Student past transcript（含現為休、退學者） (including suspended and drop-out) 每份 10元 NT$10Per copy歷年成績單(領過畢業證書者)Past transcript(Diploma awarded)年月畢業(Graduate on YearMonth)每份10元NT$10per copy總計應繳工本費新臺幣Total Charge NT$：經收人：承辦人員：註冊組長：Receiving Case Officer Head of Registration Office

2. 崑山科技大學學分抵免申請表 KUAN SHAN UNIVERSITY APPLICATION FOR CREDIT TRANSFER申請日期: ______/_____/_____ 系所: __________ 年級:________ 學號: ___________ 申請人姓名: ____________Date of Application month day year Name of Department Ｙear Student ID No. Name of Applicant原校所修課程Course Completed in Previous Institution轉入學系(所)規定課程學分Courses Required by The Current Department擬承認學分No. of Credits Transferable承認學分單位系(所)主任簽章Signature of Department Chair/Graduate Institute Director在必修、選修、或通識課程請()註明Please check () to specify the course status科目Course Title成績Grade及格學分No.of Credits科目Course Title應修學分No. of Credits必修Required選修Elective通識General Education • 崑山科技大學學分抵免申請表 • KUAN SHAN UNIVERSITY • APPLICATION FOR CREDIT TRANSFER • 申請日期: ______/_____/_____ 系所: __________ 年級:________ 學號: ___________ 申請人姓名: ____________ • Date of Application month day year Name of Department Ｙear Student ID No. Name of Applicant • 原校所修課程 • Course Completed in Previous Institution • 轉入學系(所)規定課程學分 • Courses Required by The Current Department • 擬承認 • 學分 • No. of Credits Transferable • 承認學分單位 • 系(所)主任簽章 • Signature of Department Chair/Graduate Institute Director • 在必修、選修、或通識課程請()註明 • Please check () to specify the course status • 科目 • Course Title • 成績 • Grade • 及格學分 • No.of Credits • 科目 • Course Title • 應修學分 • No. of Credits • 必修 • Required • 選修 • Elective • 通識 • General Education