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109年核心工作人員訓練報名表
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Email
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Your email
姓名
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Your answer
所屬鄉鎮
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Your answer
生日(民國/月/日)
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Your answer
連絡電話(手機)
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Your answer
LINE D
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Your answer
身分證字號
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Your answer
通訊地址
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Your answer
緊急聯絡人
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Your answer
與緊急聯絡人關係
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Your answer
緊急聯絡人電話(手機佳)
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Your answer
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