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聖地牙哥中華科工聯誼會 會員申請表 (網路版) SDCASEA Membership Form
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電子郵箱 Email Address
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申請日期 Date of Application
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DD
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YYYY
申請目的 Purpose
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申請成為新會員 New Membership Application (USD $40.00 annually)
續費 Renewal
申請成為終生會員 Life Membership Application (USD $200.00)
憑證申請成為學生會員 Student Membership Application With Supporting Document(s) (USD $20.00 annually)
稱謂 Title
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英文名稱 English Name
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中文名稱 Chinese Name
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聯絡地址 Address
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電話 Phone Number
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專業領域 Technical Area(s) of Interest
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最高學歷及畢業年份 Highest Degree & Graduation Year
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工作機構及主修項目 Institute & Major
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受雇公司行號及職稱 Current Employer & Job Title
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引薦人 (Referrer, if any)
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