[109-2]數位互動課程選修課程同意書暨申請單 Interactive Online Course Enrollment Agreement (Program E) - Online Student
本單為配合數位互動課程計畫之修課申請使用。

特別聲明:請仔細閱讀並勾選同意以下條款:
Please read the following terms carefully and check the "agree" box to apply for the course.

(一)本人同意並授權國立政治大學課程拍攝、使用、公開展示本人之肖像、姓名、聲音等。
I hereby give my consent and permission to National Chengchi University to record, use, and publicly display my image, including likeness, name, and voice.

(二)本人同意國政治大學得不限地域、時間、方式,於課程中,無償利用本人於參與該課程中之所有著作。
I hereby agree that National Chengchi University may use in any way, anytime, anywhere and free of charge, any of my work produced in the process of participating in the courses, provided it is used in class.

(三)本人擔保就參與該課程中之所有著作,均已取得相關著作權人合法授權,或屬著作權法上合理使用,未侵害第三人之智慧財產權。
I hereby warrant that all my work produced in the process of participating in the courses has the copyright owner's permission or is considered legal use without infringement on a third party's intellectual property rights under the Copyright Act.

(四)本課程內容受著作權法保護,如有超越修習本課程自我學習以外之使用,應先依規定取得授權。
The contents of the courses are protected by the Copyright Act. Any use beyond the scope of learning the courses shall not proceed without all the permissions required.
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課程名稱 Course *
請勿修改課程名稱 The course name will be automatically inserted, please do not edit it.
我已詳細閱讀並同意特別聲明條款並確定申請選修此門數位互動課程 I have read and agree to the terms and conditions above. *
此表單僅供網路學員申請使用,我確認我並沒有在政治大學選修此課程 This application form is for online students only, I can confirm that I am not enrolled for this course in NCCU. *
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