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明德雙語小學111學年<小一新生報名>
請有意願報名的家長，請於111年4月10日前填寫資料後回傳。
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1.學生姓名:{ 兄姊若為明德雙語小學 學生，請於括弧內註明，例: 林小方 (姊姊:林圓圓) }
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Your answer
2.性別
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女
男
3.出生日期:
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MM
/
DD
/
YYYY
4.原就讀幼兒園:
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5.家長姓名(父親) :
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Your answer
6.父親電話:
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Your answer
7.家長姓名(母親) :
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Your answer
8.母親電話:
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9.通訊地址:(請確實填寫，含郵遞區號)
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10.電子郵件信箱:(請務必確實填寫)
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