國立中興大學學生雙主修、輔系、第二專長申請書

NCHU Application form for Double Major, Minor Degree and Secondary Expertise
□修讀 Application □放棄 Withdrawal

學年度第 學期 申請日期： 年 月 日
Academic year, Fall / Spring Semester Date: YYYY/MM/ DD

學號 姓名 手機
Student ID Name Mobile No.

主修學系 年級
Major Department Grade

□雙主修 Double Major

□輔系 Minor Degree
□第二專長 Secondary Expertise
□原申請雙主修更改為輔系(僅限有開放輔系學系)
申請項目 Double Major Changed to Minor Degree
Apply for □原申請輔系更改為雙主修 (僅限有開放雙主修學系)
Minor Degree Changed to Double Major

學系 Department：
學制 Degree：□學士班 B.S □碩士班 M. S □博士班 Ph.D.

指導教授 Advising professor 系所經辦 Clerk of Department

(學士班免填 Bachelor students exempted)
□准予修讀 Approved
①
□不准修讀 Rejected
主修學系
Major Department 系所主管 Chairman of Department

系所經辦 Clerk of Department 系所主管 Chairman of Department

② □准予修讀 Approved
加修學系 □不准修讀 Rejected
Additional Department □同意放棄 agreed to give up

註冊組承辦人 註冊組組長
③ Clerk of Division of Registration Director of Division of Registration
註冊組
Division of
Registration

備註 Notes：
1.應繳交資料：歷年成績單及擬加修學系指定繳交之資料。(放棄修讀者免)
Please submit the following: transcript of academic record, and the documentation required by offering departments.
(Withdrawal no needs)
2.申請者應於規定申請時間內備妥前列各項資料提出申請。
The applicant must submit the application and required documentation before the deadline.
簽核順序：主修學系系所經辦→主修學系系主任→指導教授→加修學系系所經辦→加修學系系主任→註冊組經辦→註冊組組長
Procedure：Major Department→ Additional Department→ Division of Registration