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全校學生防疫普查（Epidemic Prevention Survey for Student）

本表單為「學生」普查。

教職員工請填寫 ► 全校教職員工防疫普查（Epidemic Prevention Survey）

If you select other above column, please write your department.



Arrival from China/HK/Macao（Transfer thru China/HK/Macao）

選擇「是」請繼續填寫下列資料，選擇「否」請直接至網頁末端填入驗證碼後按下【確認送出】按鈕。
Select "Yes", please continue to fill in the following information, select "No", please directly enter the verification code at the end of the page and press the [Submit] button.

Duration in China（0 for Transfer thru China/HK/Macao）
Cities in China（0 for Transfer thru China/HK/Macao）
Entry Taiwan Date（Including Transfer thru China/HK/Macao)

Any symptoms of the COVID-19 Pneumonia (new coronavirus): such as fever, fatigue, dry cough, shortness of breath, respiratory distress, etc.

提醒您：請記得填寫〈（14天）自我健康監測表〉
Remind you: Please remember to fill in 〈（14 days）Self Health Monitoring Form〉


This form has been filled in before. Please check if you need to fill in the correction information.
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