NCKU境外新生體檢---預約表單及說明
(Intention Survey for Physical Examination reservation of Overseas Freshman)

------------------------------------------------------------------------------------------------------------------------------------
■體檢方案(請二擇一):Types of health-check (please choose one of them)

方案一:新生體檢  
Type A. Only NCKU Freshman request items 
(NT$850)(discount period) / (NT$1200)(without discount period)

方案二:
新生體檢 + 簽證用體檢  
Type B. NCKU Freshman request items + for changing visa or ARC 
(NT$1300)(discount period) / (NT$1680)(without discount period)

------------------------------------------------------------------------------------------------------------------------------------
體檢流程 (Instruction) :

(Read over the information on website first --> arrive Taiwan --> complete this google form --> NCKU health center will send the voucher to your email box  ---> show the voucher to the hospital counter for register --> After health checking, bring the pink receipt of NCKU hospital to the Health Center in school for stamping)

------------------------------------------------------------------------------------------------------------------------------------
■其他入學前需下載本校防疫app-(Besides the freshman physical exam, this app is needed to be download.)

『成大資訊公告平台app』-KUAP app
https://cc.ncku.edu.tw/p/405-1002-225423,c27071.php?Lang=zh-tw
(Please download the app which made by school for knowing more information about epidemic prevention.)

-->Use "student ID" & "Cheng-Kung password" to enter.
-->You may upload the rapid-test result to this app before going to the hospital.


Sign in to Google to save your progress. Learn more
Q1:預約之前,我是否已閱讀相關說明,並了解預約流程? *
Before booking, do I have already read description and understood the procedure of booking the physical examination?
Required
Q2:預約之前,我是否已知道自己需要哪一種新生體檢方案,並想預約成大醫院所辦之新生體檢? *
Before booking, do I have made a dicision of the type of examination which provided by NCKU hospital, and want to make an appointment for it ?
Required
學生證號碼  Student ID *
中文全名/護照英文全名  Chinese name or Full English Name on passport *
僑陸生請選擇提供中文姓名即可、免填英文姓名。
護照號碼  Passport number *
if you also have ARC or  Health Insurance Card holder, you may provide the number with indication.
實際入境日期 Date of Entry *
MM
/
DD
/
YYYY
在臺手機號碼 (cell phone number in Taiwan) *
電子信箱 (email address) *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy