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R : 韜gx頞eP穅錱hNh (8h歔Hr) Medical Examination Requirements for Short-Term StudentsForm C (肧(u)(For Reference Only)錱錯g ____/____/____ (t^) (g) (錯) Date of Examination ____/____/____ (-) ($) (9) 鶺 ,g 菍 檈 (Basic data)  0錱  顅 (Items required) A. 粸箄蔛穇 W粸箄(箄)KN梑詺}'`W1XJTb2枼c.zIfProof of Positive Measles and Rubella Antibody Titers or Measles and Rubella Immunization Certificates  a.梑詺錱Antibody Test 粸箄梑詺Measles antibody titer %}'` Positive %p'` Negative %*g簒歔Equivocal 穇 W粸箄(箄)梑詺Rubella antibody titer %}'` Positive %p'` Negative %*g簒歔Equivocal b.2枼c.zIf Immunization Certificate (+T玼讉 T1z0.z錯g0.z甎MOb珣+^=|鄗0俌D東^Bf.z} vQ.zt^a熍_'Y糴1rk0) (The certificate must include information such as the date of immunization, and the name of the hospital or clinic administering the vaccine or the signature of the physician administering the vaccine. If the childhood immunization record is submitted, it is important to include the record of the vaccines administered only after one year of age.) %粸箄2枼c.zIfMeasles Immunization Certificate %穇 W粸箄(箄)2枼c.zIfRubella Immunization Certificate c. %搣珣+^U0O g.z亂蘝 玣 Ni悳[.z0(Having contraindications, not suitable for vaccination) B. 鴢钀XIQ錱簚P}8hChest8-Ray for Tuberculosis  XIQ|v(X-ray Findings) $R歔(Results) %T @ f h 磉廈釩し殟q峲峝Yd峃BNh匶gh謚5丆JaJh匶gh謚CJaJh匶ghCJaJh匶ghCJPJaJh匶ghw-*CJPJaJo(h匶gh CJPJaJo(h匶gh謚CJPJaJh匶gh謚5丳Jh匶gh+45丳Jo( h+45丳Jh匶gh+5丳Jo(h匶gh5丳Jo(h匶gh謚5丆JOJQJaJh匶gh謚5丆JOJaJ#hlh謚5丆JKHOJQJaJ n劚d軋$G$IfWDXD`劚gd3Q d軋$Ifgd3Q$d軋$G$Ifa$gd% dG$gd3QSkd$$If70LP% &644 ahyt;X 謔謔謔誚十式爮{hYH9hTh3Q5丅*PJph hTh3Q5丅*PJQJphh縒5丅*PJQJo(ph$hTh3Q5丅*OJPJQJph'hTh3Q5丅*OJPJQJo(ph!hTh3QB*OJPJQJphjh縒UmHnHuh%5丅*PJ\乷(phh飠Zh3QB*PJphh飠Zh3Q5丅*PJ\乸h#h飠Zh3Q5丅*PJQJ\乸hh匶gh3QOJPJQJ h匶gh謚      " $ & , : B d f v x    0 4 6 蟈劐仳厴煎煎嫂檱檞iwiwiwiwiwiwiwiwiwi檌h+$h3Q5丆JPJaJh+$hM^l5丆JPJaJo("h+$h桰5丆JPJQJaJo(h+$h3Q5丆JPJQJaJ$h+$h3Q5丅*CJPJaJphh'V5丅*PJo(phhTh3Q5丅*PJphh%5丅*PJo(phh鵞5丅*PJo(phh縒5丅*PJo(ph' & 6 b N Vdd20刱d$IfVDWD']2^0`刱gd+$2 刴d$IfVD2WD]2^ `刴gd+$20d$IfVD]2^0gdw-*剎刬d$IfUD2WD2]剎`刬gd+$2匄8d$IfVDWD]2^匄`8gd+$$d軋ご$G$IfXD2YDa$gd% 6 : B T V d f n p      " $ R T X p r v 箐籩筧浜蟋鬀瀦涗鬀瀦瀦蠕嬩後涗鬀瀦涗箐箐髞th+$h*f<CJPJaJh*f<CJPJaJh+$h桰CJPJQJaJo( h+$h3QCJOJPJQJaJh+$h桰CJPJaJo(h+$h3XCJPJaJo(h+$hゞCJPJaJo(h+$h#6PCJPJaJo(h+$h3QCJPJQJaJh+$h3QCJPJaJ, J L N P Z \ r z | 皸夷鼎臇膵}鋝鋓[M?h+$h!sCJPJaJo(h+$hCJPJaJo(h+$h3mCJPJaJo(havCJPJaJh@NCJPJaJh+$h@NCJPJ\乤Jh@NCJPJ\乤Jh+$h~CJPJ\乤Jo(h+$hM;CJPJ\乤Jo(h+$h{SCJPJ\乤Jh+$h3QCJPJ\乤J#h+$h黵%CJOJPJQJaJo(h+$h3QCJPJaJh+$h謡|CJPJaJo(4uy":VX`ht皸裰戎含謽幹鋧naS鋧nCnaSh+$h桰CJPJQJaJo(h+$hE\CJPJaJo(h+$hE\CJPJaJh+$h3QCJPJQJaJ h+$h3QCJOJPJQJaJh!sCJPJaJh\7qCJPJaJh#DCJPJaJh+$h#DCJPJaJo(h+$h6(CJPJaJo(h+$hWV.CJPJaJo(h+$h!sCJPJaJo(h+$h3QCJPJaJh+$h~CJPJaJo(XZ\bfhvbfx筲芋痙寏宱寏宱aTIh+$h CJaJh+$h CJQJaJh+$h >*CJPJaJh+$h CJPJQJaJh+$h CJPJaJo(h+$h CJPJaJh+$h 5丆JPJQJaJh+$h 5丆JPJaJ hw-*h3Q)hw-*h3QB*CJOJPJQJaJphh+$h3QCJPJQJaJ h+$h3QCJOJPJQJaJh+$h3QCJPJaJZ\btV8剎0刬d$IfUD2VDWD2]剎^0`刬gd+$剎劋剬d$IfUD2VDWDO]剎^劋`剬d+$lkdb$IfK$L$T"o&j&0644 ayt+$奣20刬d$IfVDWD2]2^0`刬gd縒K$xz|~  >@鈽填嚀鈽坦鈽填撙憒hXHh4AB*CJPJaJo(phh'>B*CJPJ_HaJph&h4AB*CJPJQJ_HaJo(ph)h+$h B*CJPJQJ_HaJph%h+$h B*CJPJQJaJph)h+$h B*CJOJPJQJaJph$h+$h B*CJQJaJo(ph%h+$h B*CJOJQJaJphh+$h B*CJaJph!h+$h B*CJQJaJphb| BDF>2 d軋$Ifgd3Qlkd$IfK$L$T.o&j&0644 ayt+$奣2劮 d$IfVDWD]2^劮` gd'>K$劊;d$G$H$IfVDDWD^劊`;gd+$0;d$G$H$IfVDWD^0`;gd+$@BDFHJLXZ\^`dfjn賚宜弗敟乴WH8H(h+$hIbCJPJQJaJo(h+$h2{CJPJQJaJo(h+$h3QCJPJQJaJ(h+$h B*CJOJQJaJo(ph(h+$h B*CJPJQJaJo(ph%h+$h B*CJPJQJaJph!h+$h3QB*CJPJaJph%h+$h3QB*CJPJQJaJph%hw-*h3QB*CJPJQJaJph hTh3Q!h h3QB*OJPJQJph hw-*h )hw-*h B*CJOJPJQJaJphFH\7`88X9nL88刪勪d軋VDWD ^刪`勪齡d+$"$勷刧勫d軋G$UDdVDWD XD]勷^刧`勫齛$gd+$刧勫d軋G$VDWD ^刧`勫齡d+$6d軋G$VDWD ^6`d+$gkdh$$If攬"L%&0&644 ahyt+$nz666b6f6n6襻瘍裂簾痢拝捔駒j\jZjPjxBh+$h3QCJPJ\乤Jho*JCJPJaJUh+$h獈CJPJaJo(h+$h /CJPJaJo(h+$h3QCJPJaJh+$h2{CJPJaJh+$h2{CJPJQJaJh+$hVrCJPJQJaJo(h+$h 2$CJPJQJaJo(h+$h2{CJPJQJaJo(h+$h絫CJPJQJaJo(h+$hIbCJPJQJaJo(h+$h3QCJPJQJaJhe required medical examination items for students applying for short-term study in Taiwan. 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