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中華商海網路報名表
個人基本資料
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* Indicates required question
1.
姓名
*
Your answer
1.
畢業國中
*
Your answer
性別
*
女
男
Other:
身分證字號
*
Your answer
生日
*
MM
/
DD
/
YYYY
連絡電話(行動電話)
*
Your answer
連絡電話(室內)
Your answer
電子郵件(E-mail)
Your answer
地址
*
Your answer
身分別
*
一般生
低收入戶
身心障礙（含子女）
原住民
軍公教人員子女
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