National Taiwan Normal University
Application Form for Borrowing Equipment from the Health Center
Borrowed
hot water bag
first-aid kit
crutch
wheelchair
equipment
Deposit per unit
NT$100
NT$500
NT$500
NT$3000
I borrow _____ pieces of equipment from This Center. The deposit is NT$_______, and the borrowing
period is from ___________ to __________. I will return the equipment by the return date and make
compensation according to the cost in case of any damage to such equipment. I agree that the Center
confiscate the deposit if I fail to return such equipment by the return date so that new equipment can be
bought for future borrowers.
Borrower:
Department, Graduate Institute, or Unit/Student ID:
Contact Phone Number:
(Cell Phone)
Dorm extension:
Notice to the Borrowers:
1. Only school staff or students may borrow equipment from This Center.
2. The longest borrowing period is one month. Renewal may be made after expiration.
3. Deposit for borrowing: hot-water bags are NT$100/unit, first-aid kits are NT$500/unit, crutches are NT$500/pair, and
wheelchairs are NT$3000/unit. In case of any damage to such equipment, such as the damage or loss of crutch or wheel
components, compensation may be made according to the actual damage caused. If the borrower fails to return the equipment,
This Center may confiscate the deposit so as to buy new equipment for future borrowers.
National Taiwan Normal University
Application Form for Borrowing Equipment from the Health Center
Borrowed
equipment
Deposit per unit
hot water bag
first-aid kit
crutch
wheelchair
NT$100
NT$500
NT$500
NT$3000
I borrow _____ pieces of equipment from This Center. The deposit is NT$_______, and the borrowing
period is from ___________ to __________. I will return the equipment by the return date and make
compensation according to the cost in case of any damage to such equipment. I agree that the Center
confiscate the deposit if I fail to return such equipment by the return date so that new equipment can be
bought for future borrowers.
Borrower:
Department, Graduate Institute, or Unit/Student ID:
Contact Phone Number:
(Cell Phone)
Dorm extension:
Notice to the Borrowers:
1. Only school staff or students may borrow equipment from This Center.
2. The longest borrowing period is one month. Renewal may be made after expiration.
3. Deposit for borrowing: hot-water bags are NT$100/unit, first-aid kits are NT$500/unit, crutches are NT$500/pair, and
wheelchairs are NT$3000/unit. In case of any damage to such equipment, such as the damage or loss of crutch or wheel
components, compensation may be made according to the actual damage caused. If the borrower fails to return the equipment,
This Center may confiscate the deposit so as to buy new equipment for future borrowers.