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1、國立成功大學國際學人短期多房間職務宿舍借住申請表國立成功大學國際學人短期多房間職務宿舍借住申請表NationalNational ChengCheng KungKung UniversityUniversityApplication for work-related multi-room dormitory for overseas short time visitors申請人姓名Applicant到職日期Report-for-duty Date借住期間Period自年月日Fromddmmyy至年月日Toddmmyy身分證字號ID NO.申請日期Date ofApplication單位 Uni2、t總積點數Total Performance Points職稱Job Title電話 Tel配偶、未成年子女、父母或身心障礙賴以扶養之已成年子女隨居任所者Spouses, underage children,parents, or adult childrenwith physical/mentaldisabilities who rely on thesupport of and live with theApplicant稱謂Title姓名Name出生年月日Date of Birth身份證字號ID NO.本人確認無下列不得申請借用多房間職務宿舍情形之一(本校宿舍配借及管理要點第 4 點)：3、I hereby confirm that I do not have the following situations;(Dormitory regulation Rent and Management Clause 4)一、配偶及扶養親屬均未隨同居住。1. Spouse and dependants are not with me.二、本人、配偶或未成年子女在距離本校 2 0 公里範圍內有自有房屋。2. I,my spouse or under age dependents have own resident place within 20 kilometers from university.三、本人或配偶已獲政府輔助購置(建)住宅或貸款。3. I or my spouse gets subsidy or loan from government to buy(construct)