China Medical University

China Medical University

Application Form for Student Reinstatement

Application Date (D/M/Y):

Student Information / Name: / □ Male
□ Female / Department:
Grade: Class: / Student Number:
Date of Birth (D/M/Y): / Mobile Phone: Telephone:
Address:
Duration of Leave of Absence / From the _____ semester of the _____ academic year to the _____ semester of the _____ academic year / Total duration of leave of absence
_____ academic year(s)/ _____semester(s)
Reinstatement Semester / _____ Semester of the _____ Academic Year / Grade in School upon Reinstatement / ______Grade in school
Unit(s) in Charge / Division of Academic Affairs, Beigang Branch / Person in Charge from the Registration and Curriculum Section
Processing Units / Department / Student Affairs Offices / Office of Accounting
Class / Division of Student Assistance
Head of the Department / Division of Extracurricular Activities / Library
Dean of the College
Decision / Director of Registration and Curriculum Section / Dean of Academic Affairs

● Upon completion, please print out the tuition fee form from the School: [Homepage]/[Print Tuition and misc. fees].

● Students who apply for reinstatement in advance shall be approved by the Head of the department or graduate institute.