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資訊科 新生報名
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姓名
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性別
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女
男
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身份證字號
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Your answer
出生年月日
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MM
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DD
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YYYY
郵遞區號
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通訊地址
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畢業國中或現就讀國中
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報名就讀班別
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普通班
建教班
聯絡電話（手機）
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聯絡電話（家用）
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父/母或監護人姓名
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父/母或監護人姓名 電話
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Your answer
LINE ID
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備註/推薦人
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