南洋北流-臺北市南鑽人才匯流計畫107學年度第1學期獎學金申請書Northern Stream of Nanyang Talents - Taipei City ICT Southern Diamond Talent Convergence Plan 2nd Semester of 2017 Academic Year Scholarship Application Form姓名Name性別Gender生日Date of Birth就讀學校School校名Name of school申請類別Application category碩士班Master博士班PHD系所Department畢業學校Graduated school校名Name of school護照號碼Passport No.系所Department國籍Nation聯絡方式Contact Information電話TEL： 手機號碼Mobile：電子郵件Email：住宿情況Accommodation學校宿舍School dormitory 校外租屋Off-campus rental 其他Others_繳附證件Annex獎學金申請書Application Form承諾書Undertaking護照影本Passport copy學校審查意見Schools Review opinion通過Approved不通過Disapproved申請學生Applicant簽（蓋）章Signature/Seal學校承辦人Undertakes the personnel 核章Seal校長Principal核章Seal中 華 民 國 年 月 日(Review date)附註Note: 一、本申請書各欄均應逐項詳填，如有遺漏或手續不全則不予審查。All of the application documents should be completed, any omission or incomplete documents will not be accepted.二、各項手續辦妥後由就讀學校彙轉，個人申請概不受理。The application should be submitted via school, any individual application will not be accepted.三、學校審查意見請力求確實，並於審查後於申請書正下處加蓋學校關防（或戳記）Schools should strictly review the application documents, and leave the official seal on the bottom of application form after review.