乘客報名表 / BOOK FLIGHT

*必填 (Required)


1. 報名日期 *
Course Date
2. 報名課程 *
Course Selection
3. 優惠方案 *
Discount

請選擇您想要額外再報名的梯次 Please select another session you want to register:
報名日期 Course Date

1. 請輸入與您共同團報的其他人之姓名與護照號碼 Please enter the other students' name and passport numbers: e.g. Steve Jobs (HT21233112)
2. 請由上而下填寫。Please fill in from top to bottom.
4. 中文姓名
Chinese Name
5. 英文姓名 *
English name
6. 身分證字號/護照號碼 *
Identification NO./
Passport NO.
7. 居住國家 *
Living country
8. 居住城市 *
Living city
9. 國籍 *
Nationality
10. 就讀學校資訊 *
Information of your school in your country.
11. 生日 *
Birthday

Please select the date by clicking the input box.
12. 性別 *
Gender
13. 聯絡人 *
Contact person
若無請填寫「無」 Fill in "No" if None.
14. 電子信箱 *
Email Address		 寄發報到通知使用 For Registration Guidelines.
15. 信用卡卡號後四碼 *
The last 4 numbers of your credit card number
16. 特殊學習狀況
Do you have any special learning situation?
若無請填寫「無」 Fill in "No" if None.
17. 華語程度調查 *
Mandarin Level Survey
若無請填寫「無」 Fill in "No" if None.
* 以下相關個人語言程度自評，請圈選出您認為適合的選項。
Please fill the personal evaluation of Mandarin, and select the proper option which suits your current ability.
1 零程度 Beginner
2 基礎 Elementary
3 普通 Intermediate
4 良好 Upper-Intermediate
5 精通 Advanced
內容 Content 程度 Level
1. 聽力能力 Listening
2. 口說能力 Speaking
3. 閱讀能力 Reading
4. 書寫能力 Writing
18. 請問您是從何得知本營隊之訊息？（可複選）*
Where do you get the camps information? (Multiple choice)
19. 其他問題詢問
Is there anything you would like to ask about the studies?		   
以上項目，請務必依實際情況填寫完整，如有因不實或未告知者，本院將有權利取消其參加資格，並將由報名者及其法定代理人自行負責。
Please fill out the application form seriously and honestly, if we got the incorrect or hidden information, your application will be canceled.
請確認所填寫之各項資料皆正確填寫無誤，如確認無誤並完成繳費，即視為填表人同意本校依據「個人資料蒐集、處理及利用告知聲明」蒐集個人資訊。
Please confirm that all the information you fill in is correct. Once you submit and finish the payment process, it will be considered that you have agreed the NTNU personal information collection based on the “Personal Information Collection, Processing, and Use Notification Statement.”