郵寄聲明書

本人_________________________(中文及護照拼音)於___________年_______月
參加台灣法國文化協會所舉辦之法語檢定考試，因無法親自前往領取 通過證
明 文憑，因此同意透過郵遞方式寄送，本人願意承擔文件於寄送過程中遺失
的風險及所有責任。

簽名：________________________

(西元)_________年_______月_______日

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Postal mail authorization

I undersign _________________________ (Chinese + Pinyin) participated in the

DELF-DALF session held by the Alliance française de Taiwan in ___________ (year)
_______ (month). Since I am unable to collect my  Certificate of achievement
 Diploma in person, I allow the Alliance Française de Taiwan to courier it to my
postal address. I fully agree to take full responsibility in case of loss or damage during
the delivery process.

Signature : ________________________

Date : _________ (year) _________(month) __________ (day)