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CGU Alumni Association Individual Membership Application Form

*Date Receive: Calendar
Name in Chinese:
*Name in English: (Same with your Passport)
*Passport No.:
*Sex:
Male  Female 
*Date of birth: Calendar
*Date of Graduation: Calendar
*Major:
*Student ID:
*Nationality:
*Address: ZIP CODE
Mobile Phone No.:
*E-mail:
*Company Name:
Position:
Membership Category:
New Member【NTD$800】 
Continuing Member【NTD$300/year】 
Lifelong Member【NTD$3,500】 
Graduates this year【NTD$800,and Three-year free annual fee】 
Graduates this year【NTD$2,000】 
*Please upload your color photo:
*Please upload your passport or residence permit:
Please upload your proof of payment:
*NOTES ABOUT PERSONAL DATA:
Agree  Disagree 

We will collect, process and use your personal data in accordance with the " Personal Information Protection Act"of the Taiwan relevant laws and regulations. Do you agree to the personal data filled out in this form as a membership card and alumni event for the Association? For the purpose of notification of relevant information, it is not used for other purposes except for the above purposes.

By checking "Agree", you have read, understood and agreed to the above information about the collection of personal data.

Comment:
*
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Thank you for filling in the Individual membership application form for the Chang Gung University Alumni Association. After receiving, we will call you to confirm the relevant application.
Alumni Association welcomes you to join.