ࡱ> GIF)` Rbjbj8({{DDDD8,&#,*Nddddr+t+t+t+t+t+t+$M-h/z+EG|+DDdd+Dlddr+r+"),*dB zj)&+L+0#,):/0"X/0,*/0*0"1++z^#,DDDDDDD 2rf,gN I, the undersigned Y T (Full Name)......................................... '`%R (Sex)..................& & & WM| (Nationality) ..........................& & & & & & . Queg (Date of Birth)........................& & & & . wgq_x (Passport Number)......................& & & & & & .& 0W@W (Address)...........................................................& & & & .....................& & q_x (Telephone Number).........................................& ... ܕON (Interested Person)  1z (Appellation) - & & & & & & & & & & & & & & & .. Y T (Full Name) - ..............................& & & & & ..& & ... Queg (Date of Birth) -.....................& ........& & & & ... 0W@WAddress -& & & & & & & & & & & & & & & & & & & & & & & & & . q_xTelephone Number -& & & & & & & & & & & .& 3uˊ-Nl W6bM|{vBfzl[c(u.........................(Y)& .......................& & .. T p-NeY T NEQRw dk-NeY T^OlN N_Naf9e0yrdkrf0 I do solemnly declare and affirm that I shall use the Chinese surname ............................... and first name ......................................... for household registration in Taiwan, t46:LP : H L     h j n p ~ X b f j l p  H ~ ºɺвº hBdhKE"hBdhe#o(hBdhKE"o(hBdh;bo( hBdh;b hBdhs8IhBdhs8Io( hBdh06hBdhVZo(hBdh%1o(hBdhyo(hBdh06o(= 2L  r r L tdgdKd`gd;b hdpWD`hgd;b XdpWD`Xgd;bdpgd;b & Fdpgd;b & Fdpgd;bdgd#d $da$gd#d.j "*hprtx*<@HR^ftrǽ詟ywyUhBdh065hBdhc<5o(hBdh.>5o(hBdh'5o(hBdh065o(hBdh795o(hBdh065>*hBdh.>5>*hBdh795>*o(hBdh{+5>*o(hBdh.>5>*o(hBdh065>*o(hBdh06CJaJo(-he Republic of China, and fully understand that the said Chinese name can only be altered under the relevant laws and regulations. =| T (SIGNATURE)& & & & & & & & & & & & & & & . l[NtN (GUARDIAN)& & & & & & & & & & & & & & & & & & & .    SHAPE \* MERGEFORMAT      rff DECLARATION 0-Nl WeNIf\(u 0} Ϟ U la Ob W 0Y ThO 0,{1h,{3[ -Nl W WlY WN0!q WM|NP}ZZ vQMvPS@buP[sYKN-NeYl a&{Tb W WlO(uY TKNca0 Attention: In accordance with the Paragraph 3 of Article 1 of the Name Act, the Chinese name of an ROC citizen s foreign or stateless spouse and child should meet the conventions practiced in the ROC. Otherwise, the Household Registration Office may not accept the application for declaration. tHJ.248:>@DFNfhjln$a$gd` gd$a$ddgdvdgd;b $da$gd03$&DHJjlùÕwo]PH>HPhBdh5o(hBdh5jhBdh5U#jhBdh,m5UmHnHuhBdh065&jhBdh;b5>*UmHnHuhBdh5o('jhBdh;b5CJUmHnHuhBdhKE"\hBdhKE"o(hBdhKE"5o(hBdhKE"\o(hBdh06\o(hBdh06\hBdhI3\o(hBdh065o(hBdhCJaJo(,.046:<@BFdhjlnt.<XrlcShfNhDW5B*CJ\phhDW5CJ\ hDWCJ%hfNhDW5>*B*CJ\o(phhfNhDWB*CJo(ph hDWCJo(hDWCJPJo(h` hDWPJo( hDWPJo(hDW hDWCJo(h/5jh/5UhBdh065>*hBdh5o(jhBdh5U#jhBdh5UmHnHu $d8a$gdMD $da$gddgdgdXZ$hBdh065>*h06hDW hhDW hDWCJhDW5CJ\hDW5CJ\o(61h2P:p;b. A!"#$I%S Dd ~eD  3 @@"?H@H gQe1$$CJKHPJ_HaJmH nHsH tH$A$ -k=W[WFiF h@0 jL$a$ 5>*\(J@( oRjL5\6@6  9r G$CJaJ6 @"6 >\ 9r G$CJaJOO( "&Rqs9z:#'67FSTcdetuvx \Kx \Kx 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x 0x x |x x )x x )x x PSx PSx 0x x H|H|H|H|H|H|H|H|H|H|H|; ; ; ;  ; ; |Rqs9z: "#'34567FSTcdetuv00 0 0 0 0 0 0 0 0000000000000@0ȑ00@0ȑ00@0ȑ00@0ȑ00@0@0@0ȑ00 0000000000000(0000000(Rqs900 0 0 0 0 0 0 0 0@ 0 0ʑ00   X t  _8@8(   %$6 3  s"*?`  c $X99?%$6NB  S DjJH  #  V  # "` B S  ?y !yte !}t\ tX t6{ 6{ M} 9*urn:schemas-microsoft-com:office:smarttagsplaceB*urn:schemas-microsoft-com:office:smarttagscountry-region Z[qssw>B9#&55abzzz:::z7#&'25 "#45u.n.}QY,n!.29.z:.2dtGgdPl1q2`hh^h`o(. ^` 0 ^` . ^` .`  ` ^` ` 0@  @ ^@ ` .   ^ ` . ^` 0 ^` .hh^h`o(. ^` 0 ^` . ^` .`  ` ^` ` 0@  @ ^@ ` .   ^ ` . ^` 0 ^` .hh^h`o(. ^` 0 ^` . ^` .`  ` ^` ` 0@  @ ^@ ` .   ^ ` . ^` 0 ^` .hh^h`o(. ^` 0 ^` . ^` .`  ` ^` ` 0@  @ ^@ ` .   ^ ` . ^` 0 ^` .hh^h`o(. ^` 0 ^` . ^` .`  ` ^` ` 0@  @ ^@ ` .   ^ ` . ^` 0 ^` .hh^h`o(. ^` 0 ^` . ^` .`  ` ^` ` 0@  @ ^@ ` .   ^ ` . ^` 0 ^` .hh^h`o(. ^` 0 ^` . ^` .`  ` ^` ` 0@  @ ^@ ` .   ^ ` . ^` 0 ^` .hh^h`o(. ^` 0 ^` . ^` .`  ` ^` ` 0@  @ ^@ ` .   ^ ` . ^` 0 ^` .l1q9}QdtG,n!z:.n>=e#).>y GKE"Zx&&303I3/5@8_X879c<MD Is8I{KfNQ\\^;bBd#dfk,mg!t;uwB7y;X` v<v %1K{+'4P$5~)]VZv*I,w06DW"24@p@@@ @ @@UnknownGz Times New Roman5Symbol3& z Arial/E .jwiԚC.e0}fԚPMingLiU h:' 'GgU U !?!),.:;?]}    " % & ' 2 t%00 0 0 00000013468:<>@BDOPQRTUVWZ\^ \]d([{  5 0 0 00000579;=?ACY[][2d 3qHX ?062-NeY Trff-NeY Trff rff(docjHh) WS^ Nq@S6b?eNR@b user,        Oh+'0( 8D d p | mWnmWnOnUϤFưȩ n(docɮ) Normal.dotuser4Microsoft Office Word@F#@HV9@@U՜.+,0 hp| OnFF 395023300A '   !"#$%&'()*+,-./012345789:;<=?@ABCDEHRoot Entry Fp5JData 1Table[0WordDocument8(SummaryInformation(6DocumentSummaryInformation8>CompObjm  FMicrosoft Office Word MSWordDocWord.Document.89q