ucan施測異常通報表 UCAN Abnormal Testing Notification Form
● 本表單僅提供本校學生ucan異常施測所用。
● 填寫完畢後，本中心將由專人處理，處理完畢後本中心以email方式傳送通知至學生信箱，學生可再自行撥空施測。
● ucan施測其他疑問，歡迎洽詢本中心(082-313741，歐陽小姐)。

●This form is only provided for the abnormal testing conducted by UCAN for students of this school.
●After completion, this center will handle it by dedicated personnel. After processing, notifications will be sent to students' email addresses. Students can then schedule the testing at their convenience.
●For any other inquiries regarding UCAN testing, please feel free to contact this center (at 082-313741, Ms. Ouyang).
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請選擇 Please select: *
請選擇  Please select:
 *
學系(例：企管系) Department (e.g., Department of Business Administration)
 *
班級(例：大一乙班、碩二) Class (e.g., Freshman Class B, Second-year Master's)
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姓名(以中文姓名為主) Name (Chinese name preferred)
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學號 Student ID
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民國出生年月日  Date of Birth in ROC format *
例：91年9月9日出生，請寫910909。
For example, if born on September 9th, 1991, please write 910909.
學生信箱 Student Email Address
 *
例：s111141109@student.nqu.edu.tw
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