申請修讀學分學程線上預審表
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欲修讀的學分學程 *
本人已詳閱實施要點、本校學分學程設置暨學生修讀要點,願意遵守相關規定 *
學號 *
系級 *
姓名 *
常用E-mail *
手機 *
申請前,已修讀通過之學期-學程科目1,無則免填
申請前,已修讀通過之學期-學程科目2,無則免填
申請前,已修讀通過之學期-學程科目3,無則免填
申請前,已修讀通過之學期-學程科目4,無則免填
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