All Department Location  >  Submit Form  >  Student Name Change, Birth Date Correction Application Form
Complete Form
x   Favorites
This page displays the form selected by the user so that details can be filled in and submitted.

Student Name Change, Birth Date Correction Application Form
1. Please submit one copy of passport and one copy of identity card to this form to apply to change name or birth date.
2. The information collected on this form is only used in the range and region required for the purposes of holding academic affairs data management and university affairs analysis; the period of keeping the information on file is based upon the activity. You will have rights in accordance with Item 5, Article 3 of Personal Information Protection Act. Please refer to MCU Guidelines for Personal Information Protection Management and MCU Personal Information Management System at URL http://pims.mcu.edu.tw) for further understanding of MCU personal information management policy, regulations and contact information.
Submitted On 2026-07-19 02:43 PM  
ID Number and Name
Program
 
Department
 
Contact Phone
 
E-mail address
 
Data to be Changed

 
Data Change to
 
Identity Card