National Taipei University of Nursing and Health Sciences

Summer Vacation Dorm Application

Notice:
Summer vacation dorm only accepts to apply as per week, please refer to the table and fill in the form for
further administrative procedure. You also need to complete the payment beforehand.

Week 1 : 6/26 – 7/3 Week 2：7/4 – 7/10 Week 3：7/11 – 7/17 Week 4：7/18 – 7/24
Week 5：7/25 – 7/31 Week 6：8/1 – 8/7 Week 7：8/8 – 8/14 Week 8 ：8/15 – 8/21
Week 9：8/22 – 8/28 Week 10：8/29 – 9/4 Week 11：9/5 – 9/11

Room Type Summer vacation

Ximen Quadruple room 450 NTD/ Week
Campus
Twin room 600 NTD/Week

Name：Indra Gunawan

Room type：
□ Quadruple room for week _______________________(please fill in according to the table)
□ Twin room for week _________407___________________(please fill in according to the table)

I have confirmed the filled information is accurate.

Date: 06/17/2021

Sign: Indra Gunawan