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108年度國際農村青年交換訪問行前訓練報名表
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Email
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Your email
姓名
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Your answer
報名身分
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會員
督指導員
接待家庭
出訪代表
生日(民國/月/日)
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Your answer
身分證字號
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Your answer
LINE ID
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Your answer
行動電話
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Your answer
通訊地址
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Your answer
飲食葷素
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葷
素
Other:
參加行程
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7/26-28 參加全部行程
7/27-28 僅參加周末行程
緊急聯絡人
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Your answer
緊急聯絡人關係
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Your answer
緊急聯絡人手機
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Your answer
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