808258005

國立中正大學學生學籍記載表 Paste
2-inch headshot
National Chung Cheng University Student Personal Information
*If the photo is printed unclearly, please affix a
color personal photo into the headshot rectangle.
College of Sciences Doctoral Program in Molecular Biology,
College Department Enrolled
Department of Biomedical Sciences
Personal ID No. or
Student No. 808258005 19930807DH
ARC No
Date of Birth India
Name In Chinese 1993/08/07 Nationality
(YYYY/MM/DD)
Name In English
DHIVYABHARATHI BALAKRISHNAN
(Must match with your passport)
Degree:
Previous school School/ Department: /
Date of graduation/ leave (YYYY/MM)： 1911 / 00

Phone no. +91 9500732649 Cell phone no. 9789509671

E-MAIL Address dhivya07biotech@gmail.com

NO 9 CHETTI STREET
Permanent Address KUDIYERUPUPALAYAM
PUDUCHERRY-607402
INDIA
NO 9 CHETTI STREET
Mailing Address KUDIYERUPUPALAYAM
PUDUCHERRY-607402
Parent/Guardian INDIA
Name BALAKRISHNAN Phone no. +91 9500732649
(for emergency contact)
※Please paste a photocopy of your personal data page of your passport on the back.

1. Purpose of Collecting Personal Information

CCU collects your personal information for Academic Affairs management. We do not use processed personal
information beyond the scope of the purpose. Any changes of the purposes of collection, prior consent is
required.
2. Processing, Using and Retention of Personal Information
In addition to internal use, CCU may disclose your personal information to a third party in response to
a formal request by law.
Your personal information henceforward retains in CCU and will be used in Taiwan or any area proved by
your authority.
3. To ensure the correctness, accuracy, and completeness of your personal information, please report to CCU
any changes in your personal information.
Your rights and/or interests may be jeopardized if you provide CCU with false, untrue, outdated, partial,
or misleading personal information.
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(i) inquire into or review your personal information; (ii) ask for duplicates of your personal
information; (iii) ask to supplement or correct your personal information; (iv) ask to stop collecting,
processing and/or using your personal information; and (v) ask to delete your personal information. CCU
may refuse your request(s) in order to perform its duties.