112-1寒假返校環境整潔公共服務請假登記表

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112-1寒假返校環境整潔公共服務請假登記表

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班級 *

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座號 *

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姓名 *

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原定日期 *

1/29

1/31

2/1

2/6

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1/29

1/31

2/1

2/6

寒假皆無法返校，開學後至衛生組登記日期補完成。

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