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智慧城市共享學習堂借用申請表
＊本申請表所蒐集之個人資訊，僅作為場地借用申請使用，將保留本申請表一年，期滿後即依規定銷毀。
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借用人
*
Your answer
借用單位
*
Your answer
借用人職員證號
*
請填寫逢甲職員證號，設定門禁使用
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聯絡電話/校內分機
*
Your answer
電子郵件
*
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借用時間
請依yyyy/mm/dd hh:ss~ yyyy/mm/dd hh:ss填寫
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借用性質
*
校內課程
演講活動
招生活動
研討會
會議
Other:
活動名稱
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是否借用設備
是
否
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