休学（保留学籍）申请表-澳门科技大学.PDF

澳 門 科 技 大 學 研究生院職員收件記錄 MACAU UNIVERSITY OF SCIENCE AND TECHNOLOGY To be filled by SGS staff: □ 收妥文件 Documents received 延 期 入 學申 請 表 Received by:______________ APPLICATION FOR DEFERRING ADMISSION Date:____________________ I.申請人個人資料 PARTICULARS OF APPLICANT 申請人姓名 申請編號 Applicant ’s Name _______________________________ Application No. ___________________________________________ 錄取課程 錄取專業 Accepted Program _______________________________ Accepted Major ___________________________________________ 通訊地址# 郵政編碼 Correspondence Address _______________________________________________________________ Postal Code _________ #大學將按此地址寄發延期入學通知書，請務必填寫詳細的地址。The University will send notification to this address, please make sure the provided address is accurate. 聯絡電話號碼 電郵地址 Contact Phone No. _______________________________ E-mail Address____________________________________________ II. 延期入學申請資料 APPLICATION INFORMATION OF DEFERRING ADMISSION 擬註冊入學學期 本人將於 學年 第 學期 Intended registered semester : I will register at ______/______ academic year , semester_____ 入學 延期入學原因（請選擇下列其中一項）Reason for deferring admission (Please select one of the followings) ： 經濟困難