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台灣計算神經科學學會 個人會員入會申請書
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申請人姓名 Name
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Your answer
出生年月日 Birthday
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MM
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DD
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YYYY
性別 Sex
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女 Female
男 Male
不予揭露 no comment
最高學歷 highest education
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國小 elementary school
國中 junior high school
高中 senior high school
二專/五專
大學/二技 bachelor
碩士 master
博士 PhD
Other:
最高學歷的學校名稱 the school of your highest education
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最高學歷的科系(所) the department/institute of your highest education
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目前服務單位 或 就讀學校 current working/studying school(or company)
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職稱(學生請填目前就讀學歷，例：大學生、碩士生、博士生....等)
title (if you are a student, please fill undergraduate student, mast student, PhD student......etc)
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電子信箱 email
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行動電話 mobile (format：0912-345678)
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通訊地址 address
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若您所屬的團體為本學會之團體會員(例如：清大腦科學中心)，請標註此團體名稱。若無則免填
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