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ACTFL
華語語言評定測驗 報名表
如要測驗 請仔細填入個人資料 謝謝！
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報名用電子信箱 Email for Register
如果與表單郵件不一樣 請填寫 If your register email is different from the one logged in.
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電話號碼 (Cell) Phone
*
用於聯繫 測驗 詳情
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英語姓名 First and Last Name
*
同護照 Write exactly as it appears on your passport
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中文姓名 Mandarin Name
無者免填 Leave blank if you don't have Chinese name
Your answer
性別 Gender
*
男 Male
女 Female
出生 年月日 Date of Birth
*
MM
/
DD
/
YYYY
國籍 Nationality
*
EX:台灣 Taiwan
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身份證號碼 Local ID No.
*
EX:D123456789
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證書郵寄地址 Address
*
EX:台灣 台南市 中西區 民族路二段 76-10號 7樓之1
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職業 Occupation 或就讀學校
*
EX: OO大學 副教授
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母語 Native Language
*
EX:中文
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