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系桌報名表
時間:11/17 星期三 晚上6:30
地點:正心 0211
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姓名
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學號
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年級
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一
二
三
四
Other:
有沒有繳系學會費
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有
沒有
過去一個月是否有出國
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是
否
過去兩週是否有呼吸道症狀
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是
否
緊急連絡人電話
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有沒有問題想問
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