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自願成為接待家庭申請表
遠景安竭誠的邀請您成為國際交換學生自願接待家庭的一員。
By Living together, people learn to live together!
若有任何填表問題,歡迎來電專線:02-2729-4656
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* Indicates required question
中文姓名 (與護照相同) :
*
Your answer
英文姓名(與護照相同):
*
Your answer
家庭所在縣市
*
Your answer
地址
*
Your answer
聯絡電話
*
Your answer
E-mail
*
Your answer
生日
*
MM
/
DD
/
YYYY
您的職業/職稱:
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Your answer
家庭成員資訊:
家庭成員人數(包含您自己)
*
Your answer
配偶姓名
Your answer
配偶的職業/職稱
Your answer
是否有其他家庭成員
*
是
否
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