第一篇:1-3.健康检查项目表(乙表)原表
醫院標誌
Hospital’s
Logo 健康檢查證明應檢查項目表(乙表)(醫院名稱、地址、電話、傳真機)檢查日期 ____/____/____(年)(月)(日)____/____/____
(M)(D)(Y)
Date of Examination
ITEMSREQUIREDFORHEALTHCERTIFICATE(Form B)(Hospital’s Name, Address, Tel, FAX)
備註(Note):
一、本表供外籍人士、無戶籍國民、大陸地區人民及香港澳門居民申請在臺灣居留或定居時使用。This form is for
residence application.二、兒童6歲以下免辦理健康檢查,但須檢具預防接種證明備查(年滿1歲以上者,至少接種1劑麻疹、德國麻疹疫
苗)。A child under 6 years old is not necessary to have laboratory examination, but the certificate of vaccination is necessary.Child age one and above should get at least one dose of measles and rubella vaccines.三、懷孕婦女及兒童12歲以下免接受「胸部X光檢查」;懷孕婦女於產後仍應補照胸部X光。Pregnant women and children under 12 years of age are exempted from chest X-ray examination.Pregnant women should undergo chest X-ray after the child’s birth.四、申請免除胸部X光檢查之適用對象:申請人限來自結核病盛行率低於十萬分之三十的國家,並檢具由精神科醫
師出具申請人在心理上不適合進行胸部X光檢查之診斷證明書,經行政院衛生署疾病管制局審核通過者,始得免除此項檢測。
五、兒童15歲以下免接受「HIV抗體檢查」及「梅毒血清檢查」。A child under 15 years old is not necessary to have
Serological Test for HIV or Syphilis.六、居住於美國、加拿大、歐洲、紐西蘭、澳洲、日本、南韓、香港、澳門、新加坡及以色列等地區或國家之申請
者,得免驗腸內寄生蟲糞便檢查及漢生病檢查。Applicants living in USA, Canada, Europe, New Zealand, Australia, Japan, South Korea, Hong Kong, Macao, Singapore or Israel are not required to undergo a stool examination for parasites or an examination for Hansen’s disease.七、漢生病檢查為全身皮膚檢查,受檢者可穿著內衣內褲,並由親友或女性醫護人員陪同受檢。檢查時逐步分部位
受檢,避免一次脫光全身衣物,維護受檢者隱私。Hansen’s disease examination refers to careful examination of the entire body surface, which should be done with courtesy and respect to the applicant’s privacy.During the examination, the applicant is allowed to wear underwear and be accompanied by a friend or female medical personnel.Hospitals or clinics have the responsibilities to protect the privacy of the applicant and the examination should be done step by step.Hence, taking off all clothes at the same time should be avoided.八、根據以上對/女士/小姐之檢查結果為
□合格□不合格□須進一步檢查
Result:
□has passed the examination□has failed the examination□needs further examination.責負醫檢師簽章 :(Chief Medical Technologist)負責醫師簽章 :(ChiefPhysician)醫 院負責人簽章 :(Superintendent)(Name & Signature)(Name & Signature)(Name & Signature)
日期(Date):本證明三個月內有效(Valid for Three Months)
Appendix: Principles in determining the health status failed
03/06/2012
第二篇:英国旅游在职证明(原表)
在职证明
兹证明出 生 于年月日,自年月在我公司开始工作,现任
特此证明!
单位电话:
单位传真:
单位名称:
领导签字:
单位地址:
年月日 公司职务。他的月收入为元。
第三篇:评分任务分解表原表样
附件1
保定市国土资源局“两整治一改革”工作检查验收评分及任务分解表单位名称:保定市国土资源局填表时间:2011年10月16日
第四篇:内外购/原物料预计表
内 外 购 原 物 料
资料提供部门: 年 月份 单位:千元
项 目金 额备 注月份月份月份原 料内 购※表列数字系指当月付现数。※本表由资料提供部门于每月二十四日前填送会计部。原 料配 件货 物 税物料内购原物料外购d/al/c关 税各项费用合计
科长: 制表:
www.xiexiebang.com【xiexiebang.com范文网】
第五篇:拼音表
声母
b p m f d t n l g k h j q x zh ch sh r z c s y w
单韵母
aoeiuü
复韵母
aieiuiaoouiuieüeer
整体认读音节
zhichishirizicisiyiwuyuyeyueyuanyinyunying
汉语拼音音节表
Bbabobai beibaobanbenbangbengbibiebiaobianbinbing
ppapopaipaopoupanpenpangpengpipiepiaopianpinping
mmamomemaimaomoumanmenmangmengmimiemiaomiumianminming
ffafofeifoufanfenfangfeng
ddadedaideidaodoudandangdengdidiediaodiudiandingdongttatetaitaotoutantangtengtitietiaotiantingtong
nnanaineinao no nen nang nengninieniaoniunianninniangningnong llalelaileilaoloulanlanglenglilialieliaoliulianlinliang ling long ggagegaigeigaogougangenganggenggong kkakekaikoukankenkangkengkong hhahehaiheihaohouhenhanghenghong jjijiajiejiaojiujianjinjiangjingjiong qqiqiaqieqiaoqiuqianqinqiangqingqiong xxixiaxiexiaoxiuxianxinxiangxingxiongzhzhazhezhizhaizhaozhouzhanzhenzhangzhengzhong chchachechichaichaochouchanchenchangchengchong shshasheshishaishaoshoushanshenshangshengrreriraorouranrenrangrengrong zzazezizaizaozouzangzengzong ccacecicaicaocoucancencangcengcong ssasesisaisaosousansensangsengsong yyayaoyouyanyangyuyeyueyuanyiyinyunyingyong wwawo waiweiwanwenwangwengwu