2022-2023 都柏林大学孔子学院中文高考培训班新生报名表 New Students Registration Form of UCD Confucius Institute Leaving Cert Class

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注意Note：
1. 请家长在注册和缴费时使用同一个邮箱和联系电话。Please use same email address and contact number when making registration and payment.
以上信息仅作为高考培训班报名登记使用，不会泄露给其他机构。The above information is only used as registration for UCD Confucius Institute Leaving Cert Classes and won't be disclosed to other agencies.

Email *

学员英文名及中文名（如有）Applicant's full name and Chinese name (if has) Eg. John Wang ( 王一） *

性别 Gender *

女Female

男Male

出生日期 Date of birth *

YYYY

母语 Mother tongue *

家长/监护人姓名 Parents/Guardian's Full name *

与学员关系 Relationship with Applicant

家长/监护人联系电话 Phone Number of Parents/Guardian *

家长/监护人邮箱 Email Address of Parents/Guardian *

紧急联系人电话 Emergency Contact number *

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