【 報名表Registration Form】113/3/8(五)趙美貞女士研究論文獎勵獲獎心得暨成果分享   Presentation for research award from Ms. Mei-Zhen Zhao donation
日期：113/03/08(五) 中午12:10-13:30 
地點：和敬樓C511會議室
報名期限：即日起至113/03/06(三)前
※完成報名且實體出席者，提供麵包餐盒，請於簽到時領取
※本活動申請『教師增能研習認列一次中』，參與教師須完成簽到及回饋問卷填寫方能協助申請認列。

Please note as follows:
1.Presentation Date and Time: Friday, Mar. 8, 2024 at 12:10 p.m. to 13:30 p.m.  (11:50 start signing)
2.Venue: C511 Conference Room (5th floor, He Jing Building)
3.Registration Deadline: Wednesday, Mar. 6, 2024, 12:00 p.m.
* Western style lunch box is only provided for the in-site participants on the day for complete registration before the registration deadline.
*The Online Special Speech will be held both in-site and online, for those who the webinar, please be noted to Sign in and Sign out after complete the questionare.

主辦單位：醫學院
Organized by College of Medicine, Tzu Chi University
113.02.05
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姓名 Name
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單位(例如慈濟大學XX系；慈濟醫院OO部)  Affiliation (Ex. Department of OOO, Tzu Chi University or Department of OOO, Tzu Chi Hosipital)
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職稱或年級  Position or Grade
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電子郵件地址 E-mail address
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聯絡分機或手機 Extension Number with Office Phone Number/Mobile Phone Number
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午餐(完成報名且實體出席者，提供麵包餐盒，請於簽到時領取) Lunch Box or Not. (We will prepare a western style lunch box, if you need it.) *
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