本市私立短期補習班COVID-19疫苗施打人數調查
提醒:指揮中心指示,自明年元旦起,所有人員必須完整接種2劑疫苗才能上工
請先填寫補習班基本資料
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1.補習班班名全銜 *
範例::臺南市私立OO文理短期補習班
2.立案班址 *
範例:臺南市OO區OO路OO號00樓
3.填表人姓名 *
4.填表人手機號碼 *
範例0900-000000
5.補習班電話 *
範例06-0000000/0900-000000
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