CGU Alumni Association Individual Membership Application Form

*Date Receive:

*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:

Name in Chinese:

*Name in English:

（Same with your Passport）

*Passport No.:

*Sex:

Male Female

*Date of birth:

*Date of Graduation:

*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】

*驗證碼

驗證碼語音播放器